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09/15/2416 THU 14: 19 FAX FaaL water Heater 0002/003 <br /> PERMIT APPLICA` IAN <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERET"T PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> SITE DD S PROPERTY TAX <br /> D( 0 Q P lTl, <br /> Ir <br /> LEGAL for new construction Short Plat•/subdlvislon Lot No. (attach Copy of long legal description) <br /> OWNER J U C, LELk <br /> Phone/�-mall s <br /> Address 1�P 5 U �'•� L city/State/Zip ,� <br /> FIPPLICANT! Owner Ovdner's Agent Ccntractgr Contractor's A ent Tenant muel ProvUe a rehorof coneenl from lho owner fo ao vrork In Ihg fmae) <br /> ACrTTO•R (�G-K F-A State tic.# Ulj�tJ (✓O T City Bus- <br /> Addrese L I !V �i f'��/l1l e U /� <br /> 1, - PhOhelErnafl pr]j rd <br /> ENANT tsubINL55 NAME CONTACT FOR PERMIT VUC7777. <br /> Phone/C-mall r � � �� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK p1i <br /> Existing Use of Building pl!^AT <br /> Proposed Use }d <br /> Das lectrlc plher <br /> Building typ inglo Family Duplex—Townh Multf-Family `Commercial <br /> T e of ro ect: Now Addlflon Remod Repair T.1. SlUn_Sprinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(a(V/llonal space provided on 0 auk): <br /> ex LQ-- <br /> MECHANICAL, PERMIT APPLICATION PL <br /> UMBINO PERMIT APPLICATION <br /> Type of Project: _New�ddnItoration�Rapalr Type of Project:J®ct: --N®w_.Addn Altargtfon Rapatr <br /> S um of fixtures Show Numbar # of flxluras <br /> A/C– Ir handl In units Toilet <br /> forced it s stems Bathtub <br /> Gas I In <br /> Water hes ar <br /> Lavato wash basin <br /> Shower <br /> a <br /> Gae <br /> s ran es flan e Kitchen sink A dis vsal <br /> G <br /> Clothes dr a Dishwasher <br /> Ran a hood Clothes washer <br /> Exhaust fan Water heater <br /> Heat um Sink service/bar/mo /etc. <br /> Unit he er Backflow preventer inside bldg) <br /> le, Urinal <br /> R I eratlan <br /> Drinking Fountain <br /> oodstove Floor drain <br /> Ductln Grease'tra <br /> Other <br /> Roof drains <br /> SPRINKLER I SUPPESSId SYSTEM Medical Gas <br /> R <br /> Other: <br /> Number of Heads Other. <br /> I he ruby oertiry that I have read and Ltrilnud Ihla application and know the same la be true and corrsct.All provlulana or laws and ordfgancea governing Ihle typo of work will be comp <br /> with whether specinea her®In or not.Thu granting of a permit does not presue to glve authority to vlafate or cancel th®provltilon of any afher etete or local faw rogula11 g conetruotlon <br /> That I e sUtho ed by Ih9 owner or Ihla roperly to perforin the work fo�,Yhlc' <br /> pllcetlon Ig made and I comply with the Slee t ontractore Lbw 18,27 RCVv and 2tJ6,200A WAC. <br /> Owner/ a ariz A ant 91 tura <br /> Uoto <br /> (P?OvlSud 412016) <br />