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Feb 12 1507.25a Washington Water Heaters 9257461563 P <br />PERMIT APPLICATION <br />BUILDING/MECHANICALLr/itLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St, Everett, WA 98201 425-257-8810 FAX 425.257-8857 www.everOttyra.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS: o +� <br />PROPERTY TAka <br />PE IJ <br />LEGAL Snort Plerlaubaivisbn Loa Np.� (armeh copy or long legal descalpbon) <br />OWNER Vriysl& L VkkL JL., <br />PhoneJE+na2 <br />11 <br />Adtlresa I ?e L>,r_I ' S♦i <br />C,Wstate2p 12+JC.ICi"i-, - ✓ <br />APPLICANT: oAher Ownw&Agmt.4Conbaciu _Contractora Agant _Tr1toM(eun avAlaahareronsrm aantva sweucoo.use0. ro+m) <br />CONTRACTOR :!)Gr ' /!. , r'rl5'�i 'L°^—T�- �. 'J i L: t <br />(/L 7 <br />L 8 I Lc. N (. — i cr?O, 05- p <br />'/� r' J !c' l,f_r G%' COE Bus LIc. u {/' 3 <br />- Iylt,VtLQ o-(.i'l qYoc1� Phonellintal `CP-aj"'�• lfi3' HC' r#k- <br />rENANT UU5111ttib NA1.11-- <br />CONTACT FOR PERMIT <br />�rLoI S �NA1rvA ifv /. is '1y'�r <br />_.1 cCc­r_; y <br />Pho"A-Mall c r . <br />i(.8-s: !(r' (.6lNCLCi Lim l:•q <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK <br />Ex,sbrg Use of Building L`' HEAT SOURCE: <br />Proposed Use of Oulldin a Gas Electie ww <br />Building type. _Single Family _Duplex Townhouse 2S,_Multi•Family _Commercial <br />Type of project- New Addition Remodel —Repair- T.1. Sin Sprinkler Demolibon Ctien a of Use <br />DESCRIPTION OF WORK (adde'anai space powded on the back): <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Proiect' _New_Fddi _Altaration_Rarair <br />Show V mbv (a) offixturies <br />Type of Project _Now_Addn _Altemtiun_Frpalr <br />Show Nrm+hLY a or Arnrrea tivf .1 <br />A/C — airhandtinunits <br />Taict <br />Forced air., stoms <br />Bathtub <br />Gas chping <br />Lrivato (washbasin <br />Water boater <br />Shower <br />_ <br />Gas fireplace <br />IGtchen sink A disposal <br />Gas rang* <br />Olsbwasher <br />ClothOa oryar <br />Minos washer <br />Range hood <br />LNalerheatof <br />_ Gxhoust tan <br />Sink servltelbadmo loic.) <br />_ HCXPLAMP <br />Backgow proventer <br />Unit healer _ <br />UrinalHaile-- <br />_ <br />Onnkbg ounlain <br />Rein <br />Rnmqumbore _ _ <br />_ <br />Floor drain <br />Woodstuva <br />Grene lraP <br />Ductingdralna <br />Other _ <br />McMcial Gas <br />SPRINKLER if SUPPRESSION SYSTEM <br />Other. <br />Number of Heads <br />Other: <br />1 hereby bWL4y Nor then mad and eeamintelInk appoadoo and mrew Iho oamd 10 be we end cvn w. At amvwons or oms and amount aavrnVng rhm typo er wcra vjibe mmprdd <br />IM.110"I eradsed hVab ar AOL The 0nn100 of a fem,l *..not p•ou.nla ra Ova ouohedh b vblate w uv al We pmHuan or any oeareala ar Iaeai law m;Waing mnli,,eg, <br />"at Iwo oiAhOmwl by We anew Wou prepony to a<wunn aas wmaour Wn app=unII maaoamI Wrply MA the Stab C lrattan Low 1e27 RCWtd 200200A VAC. <br />Ownerthuthorlrad Agant 019rtalura L Dalels n i�%l.( �r+��*�'7 �171•L'��'�� (�J7�' <br />eviled &2012) <br />