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G 7 <br />PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 - FAX 425-257-8857 - wvAv.everettilivi <br />rAnnuc ARE ACCFOTP❑ FRnM R AM TO PM F - I ` ii <br />SITE ADDRESS' <br />PROM RTY TAX N P RN <br />Sharon Pursel <br />LEGAL for new 82190th PI SE <br />_ _ Let No _ _ (nuich copy of long legal description) <br />Everett. Villa 98380 <br />14 bS - B 9 `l <br />OWNER <br />Pl onere-mail <br />_ <br />j <br />CIfylStatill \ s y I�.l� <br />Address <br />L 8 I Lic. N �� IfV 9 I b J <br />CONTRACTOR <br />Energy Technologies <br />Phone/En it <br />Address <br />TENANT BUSIN 1809 NE 48th pL <br />CONTACT FOR PERMIT , <br />`I�' g9y'`IIIS <br />klrklandWa 98033 <br />.r <br />!,L' NamOZp <br />25-894 4115 <br />PhanelE-mad <br />BUILDING PERMIT APPLICATION <br />ICONTRACT PRICE OF WORK <br />HEAT SOURC : <br />Existing Use of Building <br />r Other <br />L^4'ratll �(Z le hep Gas Eleclnr, <br />Proposed Ua001 <br />I9Um/ _ <br />/gLt/Iding <br />Building type: V Single Family —Duplex _Townhouse _ <br />Multi•Famtly —Commercial <br />Type of project: _ New _ Addition _ Remodel __ Repair <br />_ T.I. , Sign _Sprinkler _Domolition__Change of Use <br />Description of Work (addplonal space provided on the back) - <br />=nsfiall 1DL7ne55 he- T)NO <br />om�' <br />Have you started working without a pi_ _.YES <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: .__New _Adds ✓ Alternation _Repair <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number p or fixtures <br />Show Number 0 of fixtures <br />NC - air handling units <br />Toilet <br />Forced air systems <br />Bathtub <br />Gas piping <br />L valory Iwash basin <br />Shower <br />Water neater <br />Gas fireplace <br />Kitchen sink 8 dis osal <br />Gas ran a <br />Dishwasher <br />Clothes drver <br />Clothes washer <br />Range hood <br />Water heater <br />Exhaust fan <br />Sink semcelbarlmo t/etc. <br />Heat pump <br />Backflow venter <br />Unit heater, <br />Unnal <br />Boller <br />Drinking Fountain <br />Refrigeration <br />Floor drain <br />WoodslOve <br />Grease if <br />Ducting <br />Roof drains <br />Medical Gas <br />Other <br />SPRINKLER I SUPPRESSION SYSTEM <br />Other. <br />Number of Heads <br />Other: <br />I hereby nmmfy that I have read and esamned this application and know the same to be true and crm+r.Y AN Provisions or laws and ardrnanceOmani s Oman <br />this type at work will be tomphed with w:nlhw specified her en a not. Tim granting of a pal does not resume to give authority to violate Or cancel <br />no, pfowslon of any other slate Or loud law regulating construction or, the vorfwnmace of construction. Thal I am authorized by the owner of this provenly <br />to fredorm the work for whiyh application is made and I comply win the State Contractors Law 18.27 RCW and 211 WAC <br />owner/Authorized Mont Signature Dale (Revised 7F1011) <br />