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10/25/2016 TUE 11: 49 FAX Fast water Heater 0004//005 <br /> *ERMIT APPLICAT1 21 5 &q <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-$810 FAX 425-257-6857 www.everattwa.org <br /> SITE ADDRESS: y D� ( PROPERTY TA tf IT�f ( O <br /> D D 0 1 <br /> LEGAL for now oornstructlon: Short Plat/subdlvislon Lot No. (attach Copy of long legal description) <br /> OWNER �S N SC)N <br /> Phone/E-mall <br /> Addrees p, p •D #- D 3 01 <br /> APPLICANT: _Owner Owner's Agent \k-Coniroctor `Contractor's ant <br /> �9 Tenant(moat provide a iaKer of coneoat from the owner to do work to the apaos) <br /> CONTRACTOR State Llc.# r�E� _ <br /> Ca <br /> p l WW H' b ty Hua. Lic. <br /> Address Q�Q <br /> S �' .. Phone/Email <br /> TENANTU31NES AME CONTACT FOR PERMIT v , <br /> vYl <br /> 9A'T\q <br /> PhonelE-mall d L el/ Y <br /> BUILDING PERMIT APPLICATION coNrwacT PRIG OF WORK 106S ` <br /> LL-7xi*tlrg Use of BuildingHEAT CE: <br /> posed Use of$uildingGas Eleclrlc Otherlding type: —Single Family Duplex Townhou Mufti-Fatnify Commercial <br /> e of project: New ,Addition Remodel Re air T.I. Sin 5 rinkler demoiitlon CFlan e of Use <br /> DESCRIPTION OF WORK(addlt/vnal space provldod on tho bacld <br /> PMVA-,B <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo of Project: _Now__Addn _Alterativn_Reptil T <br /> YP@ 04 Project: �N®w^Addn _Altoratlon Repair <br /> SHoW Nmnb@r # of f/xfurAs � <br /> A/C—aunits Show Number 9 of flrfuree <br /> ir handlln <br /> Forced air s stems Tvllvt <br /> Ballet <br /> Gge p1ping <br /> htub <br /> water heater LAvatO wzash basin <br /> as fire are Shower <br /> Kitchen sink&dis oral <br /> s ran a Dishwasher <br /> Ra es dr er Clothes wash®r <br /> Ran hood Water heater <br /> t <br /> Exht fa Sink servicelbar/mo /etc. <br /> 1�eau <br /> Unit h t Backflow reventer Inside bid <br /> Boil Urinal <br /> rl oration rinklh Fountain <br /> oodstove F'I r drain <br /> 0uctln Gre elra <br /> Other <br /> 4 Roof CN.Ing <br /> SPRINKLER / SUPPRESSION SYSTEM Medical C9 <br /> Other, <br /> Number of Heads Other: <br /> I hereby wtllfy that I have rAaci arid exflmined thla appllcalton and know the earne to be true and coiTect.All provtelonu of laws and ordlnanooe poverning thla type of work will he comp <br /> with whether ep®olgad herein or not.The erantlng ora permit does not pr9sume to give authority to vlalete or cancel the provl&Idn aF any other state or lor,61 I¢,w regulating oanatrucllon <br /> That I am quthorlZ04 by the owner of lhle p�ertt perform Iho Work Por whloh epplltl¢tion+Is made and I oomply with the 31et0 Conlreotpr6 law 1827 RCW and 29(3.200A WAC. <br /> awn®r/Atrt r zNdAgf.�IntSlgn ur•m �(' <br /> Date <br /> (Pev(sed 4/201ti) <br />