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11/09/2016 WED 13: 10 FAX Fast Water Heater �004/�uQ <br /> OERMIT ,APPLICATION <br /> BUILDING/MECWANIC,AL/PL,UM13ING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www,ever©ttwa.org <br /> SITE ADDRESS: PnOPERTY T A Ik <br /> D - �a� o TWX#L [ <br /> 3 <br /> LEGAL For new construction: Short Plat/subdlvlslon Lot No. <br /> (attach copy of long loyal deecriptlon) <br /> OWNER a ' a <br /> Phony/E-mall 9 <br /> Address sate/Zlp -}0I City/ t (� D <br /> APPLICANT;—Owner Owner's Agent X,Contractor Contractor's ant Ten <br /> �9 TM ant(must pre�Idv t,lariat of conson(from the owner Io do wgrk In Ina apsce) <br /> CONTRACTOR �i� State Lie.# w�LJ city Bus. LIC. <br /> Address U <br /> S ' Phoe/Emall <br /> TENANT B ESSNA-ME Wn � <br /> CONTACT FOR PFRMIT <br /> Phone/E-mall ( L eU <br /> BUILDING PERMIT APPLICATION ICONTRACT PRICE OF WORK <br /> Existing Use of Building Wt=AT S CC: <br /> Proposed Use of Building <br /> Gas Electric other <br /> Building type: _Single Family _Duplex_To Multi-Farm _Commercial <br /> T pe of project: New Addition Rem elm Re Air T.I. Sl n S rinklor Demolition Chan e of Use <br /> DESCRIPTION OF WORK(eda/1lonal space provldea on the baoio: <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Profeta: Now__1dda "Alteration_RepAlr <br /> Type oY ProJact: _New Addn Alteration_Repair <br /> S mbar 0 of flxfuraA <br /> Show Numbar of f erures <br /> C—all,handling units Tollet <br /> Fo cad air s sterns Bathtub <br /> Goa I In <br /> Wate heater Lavatory wash basin <br /> Goa fir lace Shower <br /> Gas ran e Kitchen sink&dlyos;gl <br /> Clothes d ar Dishwasher <br /> Ran a ho Cloches washer <br /> Exhaust fa Water heater <br /> Heat um SInk service/bar/mo /etc. <br /> Unit heat gsckfiaw reventer Inside bid <br /> Boller Urinal <br /> Rafrjq ration L)rinlclrlrlFountain <br /> W dstove Floor drain <br /> uQtlna Grease Try <br /> Other Roof drralns <br /> PRIN It / <br /> Medical Gas <br /> SUPPRESSIO YSTEM Other <br /> Other; <br /> Number of Meads <br /> Other <br /> herai)y peltlry that I have 169d and 9xamined INS appllcggon and know the same to be trve end oolreot.All provisions Ur laws and ordlnanceg gavernIng thle <br /> bo ciDmp <br /> with whether sovolged herein or not.The grentinp of a permit does riot presume to give aUlttorlty to violate oroancel the provlblon or any other state or local low pe quiet Ing ooe ofworklnstruci pnn <br /> 1'het rm authorized by the owner or thla property to parrorm the worK For which appllcellon IS mgtl®And 1 cpn+ply with the State Contractor$Law 18.2T Rrvv and 2®8100A WAC. <br /> awn t ho zed A m <br /> � NnaCura Data <br /> (Pevlssd 412015) <br />