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10/25/2016 TUE 11: 50 FAX Fast water Heater 0005/005 <br /> 'ERMIT APPLICATIA11 �p <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425•-257-8810 FAX 4.25-257-8857 www.everettwa.org <br /> SITE ADDRESS' PROp[pTY TAX9 D[' Ffr(�; <br /> Q <br /> LEGAL Fur new construction: Short Plat/subdMslon Lot hlo. (attach copy of Iono legal description) <br /> OWNER U 7Phone/E-mell � 14 <br /> Address ( � zIp <br /> APPLICANT; Owner —Ownor'sAyont Contractor _Contra ctor'9Agent __.__,Tonant(mue1prvvldealetter ofrpn6entfro mlhaown arInd-weakinihespace) <br /> CONTRACTOR StAte LIC.# W{aJ�— <br /> _ 15 &e. city Bus. Lic. <br /> Address — �P w�1 a i f <br /> Irl Phone/Email a�� �Lwl+n�� is- <br /> TENANT BU S NA CONTACT FOR PERMIT <br /> Phone/e-mall <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Exleting Use of 131.J11ding AT SOURCE: <br /> Propoaed Use o' <br /> Gao -lectrlc Thor <br /> Building type' �PumIDLuplex`Townho Multi-Family _Commercial <br /> Type of ro ecl; New Addition Remod Ra air TJ. Sin S rinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(addalonol space prov/dod on the bock}: <br /> � y4v� @ <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> 7 ype of Profoct _Now --4ltorutton—13epair Typo of projoat: New_Addn _Alteratlon_Repair <br /> Show Number ftof'ffxfuras Sho umber lh offgctures <br /> A/C—air handfin unfte Toilet <br /> Forced airs stems thtub <br /> GasI Lav to wash basin <br /> Water heater Show <br /> Gas fireplace e <br /> Gas rats Kitchen Ink&di osal <br /> ae r <br /> w <br /> snih <br /> Clothes dr er Dis wa r <br /> Range hood <br /> Exhaust fan Water he <br /> Heat um Sinks vlce/ ar/mo /etc. <br /> Unit heater 13ec w rove ter inside bid <br /> f3ofler Ur al <br /> Refri era on rinkin Fountain <br /> Woodstove Roo r drain <br /> Ductin Greesettra <br /> Other <br /> Roof dralna <br /> SPRINK Medical Gas <br /> UPPRESSI SYSTEM Other: <br /> s <br /> Other: <br /> hereby gertlry Ihol I have r6ad and examined this appltcallom arid know the Same to bo true and correct.All provlelons of Iawa Mind ordinanoas governing ihla t),00 of work wol be comp <br /> with whether 9peolflod herein or nor.The granting a F a permit does not presume to give euthorlty to vtolete or canoe)the provlMon or any other elate or local law rego ung oonet ucllon <br /> 1 hal I amAX�t <br /> thprlr®d by thowner or ibis proper to porlonn tYie work for hep llodtlon 18 made and I oomPly With the Stato Contractors Law 18.27 RCW and 200.200A WAC. <br /> an Ipnat r �� <br /> Date <br /> (l eAsIed 4/2015) <br />