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07/19/2016 TUE 11: 48 FAX FaSt water Heater [ 002/005 <br /> ERMIT APPLICATIC01 <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettvva.org <br /> SITE A D E S: C PR0 ER T X <br /> P IT'# <br /> LEGAL for now construction: Short Plat/subdfvlslon Lot No- attach copy py of long legal dascrlptlon) <br /> OWNER I Phone/F-mall 6 <br /> Address <br /> ✓✓ CIlyl9tBte/Zip <br /> APPLICANT;—Ownor `Owner's Agent *K Contractor —Contractor's Agent Tenant(moat provlae a!alter o/consent Gom the firmer to 0o work to the space) <br /> CONTRACTOR ST _(Z Ll <br /> State c, # 1/U�1 Er–City Bus. Llc.# <br /> ddress j ` N � vuLr �– b�P� 0j f <br /> E T BUSINESSNAML �1f phon®1r mQll orl?j Uj 3 I I–S I�# <br /> CONTACT FOR pERMI I- <br /> Phone/E-mall � � <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use of Building HEATS E; <br /> Proposed Use of Building <br /> Gas EI ctrfc Other <br /> Building type_ _Single Famlfy _Duplex <br /> —Townhous Mull - amt Commercial <br /> RaiT e ofproject; New addition Romodel T.I. <br /> Deoaormn of UseDESCRIPTION <br /> OF WORK(edd&lgnal space provldad ona ®ck): <br /> PAAAO U <br /> MECHANICAL PERMIT APPLICATION PL <br /> UMBIN(3 PERMIT APPLICATION <br /> Type of Project: w—Addn _Alteratlon_Rep Type of Project: —New Addn _Alteration_Repair <br /> Show Nu or # of flxlurgs Shoal Number # of tYxturaS <br /> –air hendlln unit <br /> 1=o tad airs stems Tolle(Toilot <br /> Bathtub <br /> Wat heater Gat I Lavato wash basin <br /> Gas f a la ShowBr <br /> Gaa r Kitchen sink&dls )Sol <br /> Cloth dr or Dishwasher <br /> Ra a ood Clothes washer <br /> gust an Water heater <br /> eat un Sink servlce/bar/mo /etc. <br /> Unit heat r BackBow reventer Inside bldg) <br /> Boller Urinal <br /> I�efrl erati n Drinkin Fountain <br /> Woodstove Floor drain <br /> Ductin Grease'tra <br /> Other Roof drains <br /> RINKLER / SUPPRES iON SYSTEM Medical Gas <br /> Other <br /> Number of Meads <br /> Other: <br /> I hereby ggrtlty that I have edad and sxamined this appllcettoh and know thin same to bo true and cotTect.All provlelona of lawn and ordlnahcea governing this We of Worl(will be comp <br /> with whether epeolhad herein or not.The grahling of a permlt does not preaume to give authority to violate gr cancel Iho provlhlan orany other®tele or local taw reguiaing const,vctlan <br /> Thal I am au[h razed Dy the owner of lhla prop y to perform the work rar"Ic:h application l9 made end I oom I with p y tit the Slate Ggntrectare Law 10.27 RCW and 296.200A WAC, <br /> Own®r/ orizvd Apen SiU.at; ® ,. D to <br /> (POW,go d 412096) <br />