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05/16/2016 MON 13: 28 FAX Fast water Heater 0002/004 <br /> OERMIT APPLI-CATH <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 /> SfTEADDRE9S: � pROpEODLRTYPCRMIT—" Da Q� #' —cH - <br /> m11111( <br /> LEGAt_for now constructivn: Short Plat/subdivision Lot IJo. (attach copy of lona legal descrlptlon) <br /> S <br /> OWNER t ono Vw g <br /> l/u gl; Pilon®/E-mail� l� <br /> Address 1AN V City/State/Zip W Q <br /> APPLICANT: Owner Owner's Agent \X/-Contractor Controclor'a Agent Tenant(must PravIda a tattvT of wnaen(nom the owner to do work In me apace) <br /> CONTRACTOR H-F- state Lic.# WVJI`O. bE(—City Bus. Llc. <br /> Address i"Li ��'VULr ��— �lP l f <br /> fl/ WA- Phone/Emall <br /> TERA T IRUSINrz8S NA CONTACT FOR PERMIT <br /> -VA Y`-[ <br /> Phona/E-mail L L v <br /> BUILDING PEP-MIT APPLICATION CONTRACT PRICE OF WORK b� <br /> Existing Use of BUllding <br /> Proposed Use of BuildingSas <br /> Gloclric"k Other <br /> Building type ingleFami _Duplex Townhouse _Multl-Family _Cemmerclal <br /> Type of project: New Addition Remodel ear T.1, sin S rinklor Demolition Changs of Use <br /> IDESCRIPTION OF WORK(addltlonal apace provided on the back) <br /> ��4 V-,W�a U,- �-e�� <br /> NI�CHANIIGAL PERMIT APPLICAT119N PLUMBING PERMIT APPLICATION <br /> TYp of Profact: New_Addn _Alt®ration_Rep Typo of project. —Now_Addn _Alteration Rupalr <br /> S w Number # of flxtut @8 Shaw Number R of flxtur®s <br /> A/C—air hnnrilinn units Tollm <br /> o <br /> Forced air stems Bathtub <br /> Gas I In Lavato wash basin <br /> atter heater Shower <br /> n <br /> Gas <br /> Ga fireplace Kitchen sink&dis osal <br /> e <br /> Dishwasher <br /> Clothe d er <br /> Ran a Clothes washer <br /> oc! Water heater <br /> Exh st f Sink service/bar/mo /etc, <br /> H t Um Backflow reventer inside bldg) <br /> nit heater Urinal <br /> Boiler -7—Drinkingf=ountain <br /> Woo oration Floor drain <br /> W cling ve Groasertra <br /> OtherRoof drains <br /> Other Medical Gas <br /> SP <br /> "LER / SUPPRES,S10N VSTEM Other, <br /> Number of Heads Other: <br /> I hereby veMfy that I have road and axamined this eppllcatlbn and know the same to be true and correct.All provtglong of taws and ordinances 99VIarhing tills type of work will be camp <br /> with whether epacined nerein or not.the granting of a permit does not presume to give eutnorlty to violate or cancol tho provision orany other state or local law repuaUng construction <br /> Tha f em uthorizoo*the owner of this property to perform the work for which application to made and I comply with the State Contractors Law 1827 RCvv an(i 290,200A WAC. <br /> ) AA dj� f -1b -tb <br /> Ow rlAu z® A ent gnaturo Dstg <br /> (Rovlsad 4/;?01rj) <br />