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02/25/2017 SAT 12: 57 FAX Faat water Heater fj003/00� <br /> 'ERMIT APPLICAT108 <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVr=RETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 4-25-2578857 mi w.everettwa.org <br /> SITE AooREss: RP c�. c� <br /> c� c� � t)Z—V�,ill - <br /> LEGAL Por new construction: Short Plat/aubdlvlslorl Lot No... ettacim Copy py of long lagpl deecrlpt(on) <br /> [APPLICANT; <br /> WNER <br /> ddress ` liity/-state/Zip �(� <br /> —Owner ___.owner's agant \Contractor _Contractor's <br /> Te <br /> nant(must provlda a lottar or eaiI from the owner to do work In the uPII <br /> CONTRACTOR J • ST 2 'F-� State Lic.# � 1/l)1�t1�~ �&-aty Bus. LIC.W <br /> Addreas [ i � Vu�( �� r�If ��5A <br /> �lf Phoge/Etnall �!j <br /> ENANT 13 33 N �Vi 1 1 CONTACT FOR PERMI`i <br /> T' L <br /> Phone/E-mall 4. U <br /> BUILDING PERMIT APPLICATION cONTRACT PRICE OF WORK <br /> Existing Use of Building - HEAT <br /> Proposed Use of B <br /> t3as ectrlc Oth®r <br /> suilding type' Single F _Duplex—Townhouse, Multi-Famify ,�Commercial <br /> T e of ro'ect: New Additlon Remodel Re air T.1. Sin S rinkler Demolition Changs of Use <br /> pESCRIPTION OF WORK(addtlonal spec©providedon the beck) <br /> c- <br /> MECOANI L PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo of ojact: _II clrt <br /> —Alteration�Repair <br /> Type of ProJevt: NOW_Addy, <br /> --Alteration Repair <br /> Show Number of flxtures Show Number # of fixtures <br /> A/C- r ha In units Toliet <br /> Forced r s stere <br /> Gag 11 Bathtub Water E1® er Lavatory wash basln <br /> Gas flre la el Shower <br /> Gas ran e Kitchen sink&dis osal <br /> Clothes dr r dishwasher <br /> Ran e cod Clothes washer <br /> Ex at fan Water heater <br /> eat um Sink servicelbarlmo <br /> Unit heater Backflow nrkvPntAr itn;Ide bid <br /> Holier Urinal <br /> Refrl eratlort DrInkInq Fountaln <br /> Wovdetov® Floor draln <br /> Ductln Grease tra <br /> Other Roof drains <br /> SPRI 1�'PRESSION TEM Medlcal Goo <br /> Other: <br /> Number of <br /> Other: <br /> herasby gotilfy That I have rggd and examined this application end know the game to be true and calrect.All provl6lane of law&and ordinghoea governing(1115 tybe of work will be comp <br /> wlth whether specified herein or not.Thu grant{ng of a permit does not presume to Lily®authority to violate or cancel the provision of any other etatH or local law regulating oonul vctlon <br /> riot I maul O zed by the wner of thla property to perform the work far Which ppplloatlon l9 made eno I uumply with the state Contractors Law 10.27 RGw and 29B-$ppA WAC. <br /> ?van®r or I Agent Sig urs � fete <br /> (Revised 4/2016) <br />