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05/11/2016 WED 8: 38 FAX Fabt water Heater 005/005 <br /> PERMIT APPLICATI L 40�j 1 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 425-257-8857 www.everettwa,org <br /> FLEGAL <br /> RESS: vjf- (�J� OPERTYTAX# R T# <br /> b 91 P10 b _ O. <br /> fornewconstruction: Short Plat/subdlvislort Lot No- (attach copy of long legal descrlptlon) <br /> � leGfl�:"l //�N Phone/E-mall l–'D <br /> � Address O l/ Clty/StatvlZlp V F— 3 <br /> APPLICANT: Owner _Ownar's Agent \4 Contractor _Contractor'a Agent _Tennant(muet provide a lettararcaneent from ihe owner to do wod{In the space) <br /> 74 CONTRACTOR � � � State Lic.# w�,f E-� g�Cit taus. Llc.# <br /> = Address L !! � PZ PP�W D( I <br /> S �RP lnJ Phone/Ercall .a5 la 3 <br /> TENANT BUSINESS AME CONTACT FOR PERMIT <br /> Phone/E-mail ( V <br /> rBullding <br /> UILDING PERMIT APPLICATION CONTRACT PRICE OF WORK }" <br /> sting Use of Building <br /> HAAT SOURCE,- <br /> posed Use of Oas Electric Other <br /> type: Ingle Pam( _Duplex_Townhau Multi-Family _Commercial <br /> Type ofproject: New Addition Remodel b---Rep Ir T,I- Sin —Sprinkler Demolition , Chane of Use <br /> DESCRIPTION OF WORK(eddiflonsl space provided on the bacA): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project' _Now_Addn __Altaration,2!5,�pair Type of Project: _New_Addn �Iteratlon�Repalr <br /> Show Number of fixtures Sftow Number of fixtures <br /> A/C-air handling units Toilet <br /> Forced airs tems Bathtub <br /> Gas plplqg. Lavatorywash basin <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&d' osei <br /> Gas ren e <br /> -shwasher <br /> Clothes dryer Cl es w er <br /> Ran a hood Water for <br /> Exhaust fen Sink ry a/bar/mo /etc. <br /> Heat um <br /> Unit heater Ba flow i3r0enter iinside bld Boller Incl <br /> /DrinkingFountain <br /> Refrigeration Floor drain <br /> Woodstove Greaseltra <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER /SUPPRESSION SYS other: <br /> Other; <br /> I hereby certify that I have read and examined this Applloation and know the Same to be true and correct.All provisions of laws and ordinances goyerning this type of work Will ba comp <br /> with whether 3pe6fled herein or not.The granttnp of a permit rioss not presume to give authority to violate or cancel the provision of any other state or local law reaulaling construction <br /> That I em uthorized by the owner or ihla property to perform the work forwhlch application Is made and I comply with the Slate Contrector9 low 10.27 RCW and 296.200A wAC. <br /> 0erlAuthorlaed Agent lgnatur® � I '1 <br /> Dote (Ravlsod 412095) <br />