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03/01/2017 WED 13: 09 FAX Fast water Heater 10002/002 <br /> ERnnIT APPLICATIO <br /> 8UILD INGIMECHANICAL/PLUMBING/SIGN/SPRINKL.ER/DEMOLIT'ION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 wwvj.ev®rettwa.org <br /> ITE ADDRESS: ( b305 MP.�idi�.A-V� pea •R # /�D � p�� ��b� — 5 <br /> LEGAL for new Cohetruction: Shat Plat/auhdivlslon Lot No._._. (attach copy of long legal description) <br /> OWNER Q D Phone/Email S 3 <br /> Address ( � V �j� a city/statel�lp <br /> APPLICANT: Owner —Owner'o Agent Contractor COntractOr'9/-Agent �Tenant(muei provfdw q tgfler o1con9ent from Ihq OWnerlo do work In{h*3pAce) <br /> CONTRACjjTOR nn'' ST State Llc,# Wt11,1J U, lY� if Sus. Llc. <br /> Address 1121 1 I� �1� `t'.�UUI'I � �j.,C., �� ni ( <br /> �f Phon9lEmall 095�)3Z4f-em A4e <br /> ENANT C3 55 NAME CONTACT FOR PERMIT <br /> Phona/E-mall <br /> 13UILDING PERMIT APPLICATION CONTRACT PRICE O�WORK <br /> Existing Use of Bullding T 50URCL: <br /> Proposed Use o <br /> Ls ElootMc Other <br /> Building type:�s ngI Family Duplex�Townha Multi-Fanyily Commercial <br /> T e of ro•ect: ew Addition Ramod &ck) T.I. Sin S rinkfer Dernolltion - Chane of Use <br /> DESCRIPTION OF WORK(addxonsf space provrdsd orf <br /> CS <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of ProJ®ct: —NaW_Addn ,Alteration_Rupalr 7yp0 of P Gic, NeW ddn <br /> �1 TJ4fteratlon f1epA1 <br /> Show Number of flxturea <br /> Show umber # of fixtures <br /> A/C–air handlingunits Toilet <br /> Forced airs tams thtub <br /> Water <br /> t hip-, La oto wash baeln <br /> Water h®star 5ho or Gag fire lecq Kitche sink&dNr al <br /> Gas range <br /> Clothes dryer Dlshwa her <br /> Ran2e hoed Clothes ashen <br /> Exhaust fan Water heap <br /> Meat um Sink(servlc /bar/mo /etc. <br /> Unit heater Backflow re enter Inside bld <br /> Boller Urinal <br /> Refri eratlon Drin Founts <br /> woodstove Fi r drain <br /> DUQt1ng <br /> rease'tra <br /> Other Roof drains <br /> Medical <br /> SPFi1N ER ! SUPPRESSION Other: <br /> EM Gas <br /> Other: <br /> two sada Othvr: <br /> I horeby gentry tnet r have rbatd and 9xamined ihle appllcatlnn and know the same to be true and aatrect All rovIsjuna of laws and ordinencoo governing thla <br /> With whether tbeclfled herein or not.The gronpng of a Permit dose not Yo9u ne b Ivo auth p 0 9 typo of work will be sump <br /> Thal t ahi a tnorlxad by Ih®o nor of t is propert�to m the work fOr whish gppllortt3on Is made and I purply with the Stworaviw Go on or any <br /> lore law 18.27 tRC'w and 296-200A'NAG.Icilon <br /> �vwn uthorlxAd Agent Signature �L I f <br /> Date <br /> (R®v/sad 4/2096) <br />