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02/20/2017 MON 14: 05 FAX Fast water Heater U004/005 <br /> IERMTT APPLICATIaS L nI�151 <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.everettwa.org <br /> SITE ADDRESS: -777 <br /> []I]RE6S: PROPER TA IT <br /> 5 �P-pPC- S O_ s <br /> LEGAL_Far new constructlon: Short Plat/subdlvlalon Lot No. <br /> (attaoh copy of long legal description) <br /> OWNER 4—M Phone/E-mall <br /> Address IZD p City/stat®/Zip <br /> APPLICANT:J Owner Owner's AgeentContractor _.__Ccntrasctor' Ageht T9n9nt[ntUbt provlQa a IettOrvf�oneent tram 11 a❑wnOr t0 do vvrk In lne apace) <br /> CONTRACTOR C hl�- State Lfc. j,1f �r �Clt Bus- LIC.# <br /> +P�i/VL� S 4' - <br /> ' i <br /> E A BUSINESS AME Inl <br /> CONTACT FOR PERMIT. <br /> -K A'Tq 4 LF— <br /> Phone/E-mall }L <br /> BUILDING PERMIT APPLICATION CONTRACT PRlcl=OF WORK <br /> Existing Usa of Building <br /> HE E; <br /> Proposed fJs®0 u!!d <br /> Gas Electric Other <br /> Building typ �ingie Family bupi®x�Townh Multi-Famlly �Commercial <br /> Type of ro ect: ew Addition aemOdol Re 7.1. Sf n S rinkfer Dcamolitlon Chane of Use <br /> DzSCRIPTION OF WORK(additional space prpvlded ofr fhs back) <br /> Vv lex �e[ <br /> MECHANICAL PERMIT APPLICATION <br /> PLUMBING PERMIT APPLICATION <br /> Type of Prolect: —Now_Addn _Alteratlon—Ropalr Typ®Of project: �N®w—Addn �Alteration Repair <br /> OWN ®r # oPflxtuf-es Show Number � oPPlxtures <br /> eir handlln units <br /> Fo ed alr z sToilettems Tolletb <br /> Gas I o BathtuLavato wash basin <br /> Wets hooter $hewer <br /> Gan fl lace <br /> Gee ra e Kitchen sink& is Deal <br /> Dlahwasher <br /> Clothes I or <br /> Range h d Clothes washer <br /> Exhaust f Water hector <br /> Heat u Sink (service/bar/m'0/etc,) <br /> Unit he or Backflow proventer Imslde bld <br /> Doll K Urinal <br /> R I eratlon Drinking Fountelr, <br /> oodstove f=loor drain <br /> Ductln Groaso,lra <br /> Other Roof drains <br /> SPRINhCLER / SUPPRISS ION---78—T—SEM Medical Gas <br /> Other: <br /> Number-of- ee Other: <br /> I herosby owtlfythat I hews rded and e%alnlnAd this epPlloatlon and know the game to be true and correct.All ptovtalonts or laws and ordlhancea guvorhing thle type or work will be comp <br /> with whether apoolFlod herein or not.Th®gr®nling of a permit floes not preaurrtd to give euthorPty to violate or cancel the provf4lan or any olhar state or local few rogweling canelrudlon <br /> Thal I om authorized ny the owner of thla property to perform the work for W111011 eppllcetfon la made and 1 comply wllh the State Gonlractora Law 18.27 ROW and 296,200A WAC, <br /> Owner/Aur orized Agent 9lgrretur® ""' �� <br /> Date� <br /> (Ftovlsad a/2016) <br />