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25/02/2016 1016 Page 4/9 <br /> PERMIT APPLICATION <br /> BU LOIN GIMECHAN ICALIPLUMBINGISIG NISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St.,Everett WA 88201 425-257-8810 FAX 42!5-287-8857 v,iwww.evereltws_org <br /> rTEAL�DRESS: EVERET nrTa�tls PERMIrT# ®� <br /> 832 Ha Ave <br /> F_GAL for new construction: Short Platlsubdivision Lot No. (attach 00py of�On8 legal desciipbaon) <br /> OWNER Lew Moore Phoney-maii 425-345-4909 <br /> ddress 832 Hoyt Ave cityisuwt p EVERETT WA 98201 <br /> PLICANT:_tOwnsr _fjwmef5 Agent X Conu;mctor —Contr,Ktoes Agent _Tenant in,.ii pmWie anmerar oc�:e.�rrm ft-_ rrm auuu kK n the sob—) <br /> corrrRaCrofz Danilca Plumbing& ContractinD �ICPCg16LQi .# : city t3us_ Lic.# 053988 <br /> dd,ss 524 132nd Bt SW, Suite 101B, Everett,WA 982x4 phort4jEmaj142-5-335-3515 inio@danikaco_com <br /> 1ENANT BUSINESS LAMECONTACT FOR PERMIT <br /> Lew Moore <br /> Pt onaIE-mac 425-345-4909 <br /> BUILDING PERMIT APPLICATION ONTRACT PRlCEOF WORK $500.00 <br /> Existing Use of Budchng HEAT 5OLERCE: <br /> Proposed Use of Bl1king Gas Electric 0#W <br /> BuiUng type: X Single Family _Duplex TovA'*ouee _Muni-Fw[ ly Camwdal <br /> Type of project: _New _Adtfilion ' R model X Repair_T.L_Sign Sp h1der_Demolition Charge of Use <br /> DESCRIPTION OF WORK(additional space provided on the back) <br /> Replace water heater Wth similaT. <br /> REMAI~NICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project- _New,Adds _Alteration_Repair Type of Project: _New Adder _Metation X Repair <br /> Shaw Number 0)of f tyres Show Humber(tli)off wre6 <br /> AIC—air handling units Toilet <br /> Forced air sVMenis Bathtub <br /> Cas piping Lavatory(wash basin) <br /> Water heaver Shower <br /> Gets forevace E tchen sink&dspoeW <br /> Gas rw9e Dishvuasher <br /> i CkAhes dryef Cloth meter <br /> Range hood war heater <br /> Exhrwt fan Sirdc(servicelbarinbplc.) <br /> Hmi pjnp Baddkm preventer <br /> Unit heater lkitc <br /> Boiler Drinking Fourtravt- <br /> Rafn natign Floor drain <br /> woodinve Crease trap <br /> Roof draws <br /> 01her Madicall Gas <br /> SPRINKLER 1 SUPPRESSION SVSTEM ower <br /> Number of Heads C)tl ser <br /> lhQ"C4rVy=l nave fend and exarninrr4 mis appucamon and rn ow me same to tie true arse Carnet M puns a(tars and ttrdlnmo"gooeming mta type 4*od wn be comp <br /> WM whew s7vv d hem4n or noL The granung ora perntft does not presume to gNe aumorty w r6alaw or canQer the prdvtr con or any od1er*mbe t)r kX-A i.i511 segul�ng�On6'U42S�SOn <br /> Treat)ars aLmGnzea ny,Qse oAner or tiro pmpeny to pem m tha wom rvr wrnrn apponation is mace ana r wmpry WM the State Contrrcturs Lara t8.27 RCbv arta 296.20nA WAC. <br /> 42� <br /> Ou 7irAutfWtze4 A nt Sfgrsawre Date (Revised 912614) <br />