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04/01/2016 THU 13: 02 FAX Fast water Heater U002/Ops <br /> k-RMITAPPLICAT1010. LL�q�� <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER,/pEMOLIT'ION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425,257-8857 WA[W.everettwa.org <br /> rAANT!_0Wniqr <br /> DDRESS: —..�, <br /> 4 '/t/L {'R pL•RTYTA # PEF�iNIT <br /> for new construction, Sholt Plat/subdlvlslon Lot No. (attach copy of long legal deacrlptlon) <br /> Lr V l S�P— <br /> �. Phone/E-rnali G� 3 <br /> a C (v city/state/zip -�'� LOA <br /> —pwnar's Agent Contractor Contractor's Agent _Tonent(moatprrn0ae a tetter of ognient rrom 1hs owner to do worx n me spa w) <br /> CONTRACTOR State Lic.# <br /> /� � �' E.-City Bus, Lic, <br /> F1ddr®s9 1 � VuL( E � o� 131 l � <br /> �1J - Phone/Ercall 0? L3-(�YrLL41�t Vl/i I <br /> TERANT BUS SS N E CONTACT FOR�/PrzR, lM�IT Lr_ <br /> ', 1 1 -tr1�T� UF— <br /> Phone/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICK OF WORK d" <br /> Existing Use of Bullding HEA CE: <br /> Proposed Use of Building Gan Electric other <br /> Suflding type: _Single Family Duplex—Townh Multi-Fa _Commercfal <br /> T e of ro'vct; New Addition Remod Ro a r T.I. Sin S rinider Demolition Change of Use <br /> DESCRIPTION OF WORK(addfVonel spaco'-.--Idea ck) <br /> MECHANICAL PERMIT APPLICATION <br /> PLUMBING PERMIT APPLICATION <br /> Types of Project: _New Adtin _Alt®ration_Repair Type of Project _New_Addn <br /> _Altoration_Repair <br /> Shaw Number # of ffxtur&s Show Number if offlxtures <br /> A -air handlin units Toilet <br /> For alr s stems Bathtub <br /> Gas i In Lfavator wash bE2slrt <br /> Water Liter Shower <br /> Gas fire lace <br /> Gas ranq Kitchen sink 8 Is osal Clothes d Dishwasher er Clothes wash® <br /> Range ho6d Water heater <br /> Exhaust fa Sink service/bar/mo /etc, <br /> Heat u Backflow reventFfr inside bid <br /> Unit h ter <br /> Boll Urinal <br /> R rl erstlo Orinkin Fountain <br /> oodstove Floor drain <br /> Ductin Grease fres <br /> Other Roof dral- <br /> --901RWKLER I SUppRE ION SYSTEM Madlcal Gas <br /> Other: <br /> Number of Heads Other; <br /> I hereby gertlfy that I have read And oxdmined this appifoatlnn 4nd know the same to be true and colreot,All proylslons or jowls and ordinances governing(his type of work will be c.oroP <br /> with Whether apoolfied herein or not-The granting of ry permit does not presume to give authority to violate or cancel the provision of any olher erslto or local faw rogula(Ing construoUon <br /> Thn i am euthorized by the Owner of 1111-property(0 Perform 11111work foe'whloh appll-allon Is made and I comply with the State Contractors law 10-27 RCW and 296.200.E WAC- <br /> v-no �A / <br /> Own igone nate <br /> Dat (Rovh-d 412016) <br />