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02/10/2017 FRI 12: 25 Fax Fast water Heater 1005/008 <br /> IER.MIT APPL ICAT14S LiqL_3 I <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St,, Everett, WA 98201 425-257-8810 FAX 425-2575857 www.everettwa.org <br /> SITE ADD15;;; PROPER fAx# I P RMI v�� <br /> LEGAL For new constructfon' Short Plat/6ubdlvlston Lot No. (attach copy of long legal d®sorlptlon) <br /> OWNER WD ��y} Phone/E-mall <br /> Address 5 x) I 1 ► Cltylstat®/zip LA l <br /> [Addrass <br /> PPLICANT:_Owner Owner's Agent Con tractor Contractor'o Agent —Tenarlt(rnuel PrOV"im 0letter of consent ward Iho owner to do work In the spooa) <br /> ONTRACTOR "� State Lic.# 'VJW <br /> _ ��Clt Bus.Llc. //�� <br /> r=NA �BU51 N !�>� D( ( o'Jta��!/3t Vvi 1 t s 4; �'C <br /> to f iphono/Ercall <br /> CONTACT <br /> FOR PERMIT <br /> Phone/E-mall <br /> BUILDING PERMIT APPLICATION I CONTRACT PRICE OF WORK <br /> Existing Use of Building AT SOURCE: <br /> Propos®d Use of Bufldlrtg � aa� Ctectrlc <br /> Other <br /> Building type= Single Family Duplex�Townhous �Muftfl!-Famll _Commercial <br /> T e of ro'ect: New Addition Remode Re air T.I. Sin S rinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the beck): <br /> MECHANICAL. PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TYP®of Proiect: —NOW--Add" _Altaratlon_Repair Type of ProJsc , Ne Adcln <br /> Show Number tR of ftxturgs — — _Altoration Repplr <br /> PJC--afr handlin units Show NO bar 1f offlxtures <br /> Forced airs sterns ollot <br /> Gets i In 8 htub <br /> Water heater La to wash bealn <br /> Gas fire lac® Sho r <br /> Gan ran a Kltche sink& Ispoziwi <br /> Clothes dr of Dlshwa er <br /> Rdtt o hood Clothes cher <br /> Exhaust fan Water hes r <br /> M:Heat um Silk seryls ar/mo loft. <br /> nit heater Backflow ev ter InsidO bid <br /> oller Urinel <br /> efrl oration brin Fountaln <br /> oodstove r drain <br /> uctin rosea trs <br /> Other Roof drains <br /> SPRIIVKI.EMedlcal Gae <br /> RESSION S TEM Other: <br /> umber of <br /> Other: <br /> I heroby petttfy that I have rddU and 8191711ned th18 APOIcatlon and know the some to be(rue 9nd correct-All iovl¢lons of laws and ordlnancee avernln thle D <br /> wl(h Whether epeclfled herein or not-Th©granting of a oermlt tfoeo not presume to gtv®autholfty to vlohte err cano@t the provialoll or arry other state or local law regulling con6lrucl onn <br /> Th0t 1 srrt author[Zed by the owner or lhie property to perform the work Ibr whloh appllodtlon la made and I comply with the state Conlreotorg t_aw ta.2Y RCW and 290.200A WAC, <br /> - k�p h 'b�� k - J—owner/Au orlZro Agan 3lghaturta at <br /> Date <br /> (Revlsed 412096) <br />