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03/30/2016 WED 12: 39 FAX Fast water Heater 0002/002 <br /> PERMIT APPLICA` I d <br /> F.BUILDING/MECHANICAL/PL,UMBI NG/SIG N/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-6657 www.everettwa.org <br /> SIT9 ADDRESS' P OPERTY TAX PERMI # . <br /> "n 0 OL�J " <br /> LEGAL for newcohstruction. Short plat/subdlvlslon Lot No. (attach rcopy of long legal description) <br /> OWNIER A-Rj Phone/�rrtra8 Cfc 3. J/ 3 <br /> Address K City/State/zip 3 <br /> APPLICANT: Owner —Owner's Agent Contractor —Con tractor's Agent Tonent(nluat Provide a letter orconeent rrom the owner to ao work in the sPAee) <br /> CONTRACTOR J �� C', _F� State Llc.# wW F <br /> t� �7 1 City Bus. Lic.#y <br /> FAddress l l �KVULI � ��/ I f Phane/Emelt P J 3� ✓VI 1 I7ziS <br /> BUSINESS NAME CONTACT <br /> �FOR <br /> PERMIT <br /> Phono/�-mail � L e v <br /> BUILDING PERMIT APPLICATION CONTRACT PRICY OF WORK pi <br /> Existing Use of Building HEAT SOURCE: <br /> r3roposed Use of Building Gas E12Ctrlc_e& Other <br /> Building type: SingleFam _Duplex_TownhpuseMulti-Family Commercial <br /> Type ofproject; New Addition Remodel&Re al T.I. Sin S rinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additions/space provtdsd on the back): <br /> g4AA/VO\i�—/y4- f)�6, CQ_ tkLftLL <br /> MECHANICAL PERMIT' APPLICATIO PLUMBING PERMIT APPLICATION <br /> T a of Project: _New_Addn _Alteration_Repair Type of Project: _Now_Adds —_Alteration Repair <br /> Show Number # orf/xlures Show Number # of fixtures <br /> A/C-air handlln units Tollet <br /> Forced airs stems Bathtub <br /> Gas I In Lavato wash basin <br /> Water heaterz Shower <br /> Gas fire la Kitchen sink&disposal <br /> '3as ra a Dishwasher <br /> to s dr er Clothes washer <br /> s hood Water heater <br /> Exha t fan Sink servlce)bar/mo /otC. <br /> Heat puND Backflow Proven ter inside bid <br /> Unit heater <br /> Urinal <br /> Boller kinFountain <br /> Refri eratlon <br /> Floor drain <br /> D uctin ve Grease trap <br /> 17 tin Hoof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYS M Other: <br /> Number of Heade Other: <br /> I hereby eeillry that I have read and examinee lhl®application and know the Same to be true and eorreot.All orovlelone of laws and ordinancea goverhlhg Ihle type or wort(will be camp <br /> with whether specified herein or not.The granting or a permit does not presume to givB aulhodty to violate or cancel the provision cf any ocher Stale or local law regulotlnp conatructicn <br /> 'that em authorized by the owner f thle properly to perform the work For whlch application Is made and I comply with Ifj®State Contractors Law 19.27 RCW and 290.200A WAC. <br /> Own ! crizad Agant signature Data <br /> (Rev/sad 4120 15) <br />