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• 066 2014 10:06 #094 P 0011002 <br /> f <br /> PERMIT APPLICATION <br /> BUILDIN G/MECHANICAL/PLUMBING/SIGNISPRINK LER/DEMOLITION <br /> CITY OF EVERrTT PERMIT SERVICES <br /> 3200 Cellar St., Everett, WA 98201 425-257-8810 FAX 425.257.8851 WNw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITEADDRESS: PR5MRTYTAXe pEp IT <br /> 11 Jib <br /> ly S r SW =Vet-el� WA- u <br /> LEGAL for new corallruUgn. Short PluVsubdivlSlon Lot No_ (attach copy of long legal deschpoon) <br /> OWNERCII Je e2l WA Phonex-raid 1 � m'- LSA-7115 <br /> nddress�)W CPw4, _ k 1=VDCN W 98101 Cdyrslaterz.p <br /> APPLICANT: Ownor _Owigr'SAgenl Xconiteclo, ,ConVactor's Agem _7ownl lm„uD•v.aaabnerwemuw awn me e.nmono..o..re <br /> CONTRACTOR S z(ye,r A sSoc;-ke s WL L&ILic #VEAIIA11,4QNq COE Bus. Liep ns 3 <br /> Address (y/I Nt: "" " SfftCl.VtTNx...A1v C- w 9Rb8S Phone/Emul-3bu -bbb -Sbw <br /> E ANT B SINESS NAME CONTACT FOR PERMIT 1� WeLdLt <br /> PhonefE•mad IbV- <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use of 13Wng jja& rJoT 14 uSl: HEAT SOURCE. <br /> Proposed Use of Building Gat Electric. Omer _ <br /> Building type _Single Family _Duplex_Townhouse _Multi-Family _Commercial <br /> Type of project New Addillon _Remodel Repair Ti /I. Sion Sprinkler/T Demofilioe Change of Use _ <br /> DESCRIPTION OF WORK feddlfanerapaceprovidedonthe back): <br /> Dcr.z�hf-wI C� t".L vviver njyc :-Mc-TaAIk <br /> MECHANICAL PERMIT APPL•CATION PLUMBING PERMIT APPLICATION <br /> Type of Project _New_Addn __Anrratlan__Repair Typo of Piolecl __Now_Addn _Alleratlon_Repair <br /> Show Number IN or Nxfurea Show Number a o/BHures <br /> AIC-bit handling units Toeet <br /> Forced alts stems Bathtub <br /> Gas piping Leveto <br /> wash basin <br /> Water heater Shower <br /> Gas We lace Kitchen sink 8 disposal <br /> Gas fanoa Dishwasher <br /> Clothes d er Clothes washer <br /> Range IvW Water healer <br /> Exhaust fan Sink servicelbartmo etc. <br /> Heat pump Darkllow provenler <br /> Unit heater Urinal <br /> Boller DrinkU Founlam <br /> Ref iquiration Floor drain <br /> oMillovo Gfoase Ira <br /> Ductlng Roof drains <br /> Other_.. _ Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other <br /> Number of Hands Other <br /> thereby tartify that t have read and eaominnd mb apCadaten and kw am Snme to be Iron mrd cwred Mperebm bllaws dnA wdrnaM.Os parer Mnp lM1n lypn of woM1 wli he comped i <br /> wlhwfelberspeGPedherabwnul The break,ofa,m,dees 119k'eauth"Jybsbasl"w"I'llM wowmr nl arry olMd teiewkn:nl klw rppuYlnp comlrur,Ibn <br /> Thai lam•uttbreod by the mmin of the pmpwty to Pada,thawed rdr wr` h nPpicalbn h mad"arp I c"mpy write the Stale Corxmcmrn taw 1627 RCW end 2eG 200A WAC <br /> Own tAuthodaad Agent Slpnsturs Date (Rawsod#V?012) <br /> ,I, <br />