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02/10/2017 FRI 12: 24 FAX Fa6t water Heater X003/003 <br /> ERMIT APPLICATIC LL <br /> BUILD ING/M ECHANICAL/PLUM 131NG/SIG N/SPRINKLER/D EMGL I T'ION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 C adat`_St., Everett. WA 98201 425257-8810 FAX 425-257-8857 www.everetiwa,org <br /> 6h=ESz�'���� C��1 v tiq-iq <br /> t'ROP�R}'y TAX t# DUD b ( 3 <br /> o�.., r�; Short plat/subdlvlelon LotNo._ (attach Copy ofiany IogAl description) <br /> � /-- � �j(���� honelln-mall <br /> g 3 <br /> AVOCity/state/Zip �owner Owner's Agent Contractor Contractor's Agent Tenantr of consent from mo owner to do work In Iha apace) <br /> Stats Lic. �UI�J �. city Bus. Lit. <br /> Address I VUt r CM Itf• I ( Phone/&Hall �fa�r(v ✓Irl I F <br /> TENANT31N>=53 NNA, CONTACT FOR PERMIT <br /> KA 1-\-/ M�1,;E- <br /> Phone/L-mall <br /> 1BUILn IN 6 PERMIT APPLICATION CONTRACT PRICE,OF WORK <br /> Existing Uae of Building MEAT RCr^- <br /> Proposed Use of Sullding <br /> Gas Electrl Cher <br /> Building typo: Single�Fw-nj(yDuplex—Townho Multl-F CommercialT c of ro ect: Newn Remode Re a r T.I, SI n S rfnkler Dernolltlon Chan, e of Use <br /> DESCRIPTION OF WORK(additlonal space plbv/ded on s,beck).: <br /> MECHANICAL RRMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo of ProjQct: _New�Addn _AIteratlon_Repair Type of Pro ect <br /> Yp New_Addn }+ttaratYon_Repair <br /> Show or # of flxfUrgs Shaw Number # of ffxturas <br /> –alr handifn units To11e# <br /> Forcev nir s stems Bathtub <br /> ter h <br /> Gas I n ter Lava#o wash basin <br /> WaShower <br /> Cas fire I e <br /> has ren Kitchen slnk&dis oaal <br /> Clothdr er Dishwasher <br /> R e hoocl Clothes Washer <br /> 22�xhaust fen Water heater <br /> Heat urn Sink servtce/bar/mo /etc. <br /> Unit heater Backffow proventer Inelde bld <br /> Boller Urinal <br /> Rafrl eratlon <br /> Drink Fountain <br /> Woodetova Floor drain <br /> Ductln Grease-tra <br /> Other Roof drains <br /> Medical Gaa <br /> SERI ER PRESSION T'EM <br /> Other: <br /> --Numb e <br /> Other: <br /> I hereby gettlry lhet I have road and oxamined thla application and know the eamo to be trUO end Corrocf,All provlalona of lawn and ordlnancoa ooverninu lhlta type cf work wNl be comp <br /> with whether upeciorize ed her®In or not.Tha grenling of a ,®,nit doad nut presumo to give eUthorlty to violate ar C&ncel the provl'sbn of any other etgt®or total raw regUlgUnB aonetruGttOn <br /> Thal l authorized by the d Her Ot this prop�riy to perfprm the wprk rarwhlch appgcatlnR la meds ehtl I oamply with the Slale Conti <br /> any <br /> of Law 18,27 ROW and 298.20QA wAC. <br /> D- ,/A orized Ag®nt Signalers <br /> Date <br /> (Pevlsed 4/2095) <br />