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07/03/2016 FRI 12: 08 FAX Fast water Heater 002/003 <br /> IWERMIT APPLICAT101 <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 /> F <br /> ADDRESS; PROPER T Pf=RMIT#a �� (0 2 to I #L.fornewconstruction: ShorttPilot/subdivislon Lot No. (attach copy of long legaall description) <br /> EIR L=(e C rn Phone/E-metl a � f (�/ <br /> Address ' <br /> IJ <br /> d q6ep a 1C1tyJStata1Zjp (/v V <br /> APPLICANT:—owner _Owner's Agent Connttractor �Contractor's Agent �Tenant(must provide a letter of consent rrom the +mer rc do work in the space) <br /> CONTRACTOR 1 G /� /� L� State Uc. # V4JW{ T�Clty Bus. Lic. <br /> Address l 4 f N f"KyVt 1L��b�p <br /> t� �/ �l/ - Phone/Emofl orl�(U'3 ,*'✓ill/-�,� .fzt .t`-�� <br /> TENANTE58 NA CONTACT FOR PERMIT <br /> Phone/E,mall <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 6� <br /> Existing Use of Building 'nn AT SOURCC: <br /> Proposed Use of Building f ► l Gas Electric Oth®r <br /> Sullding type: _Single Family _Duplex_Townhouse Multi-Famil —Commercial <br /> I Type of project: New AdditionRemode t? air T.1. Sin Sprinkler Demolition - Chane of Use <br /> DESCMPTION OF WORK(additional space provldodonack); <br /> PAOA --�r ala Q S til e�- <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATIO <br /> Type of Project: New_Adds - Altermlon—Repair Typo of Projoct: _Ne ddn Alteration Ra r <br /> Show Number to of flxtvres Show Hurn or # of fixtures W <br /> A/C—air _ndling units Met <br /> Forced airs lams Bat ub <br /> Gas pipina Lava wash sln <br /> Water heater Showa <br /> Gas fire lace Kltchan i &dis oral <br /> Gas range Dlshwas r <br /> Clothes dryer Cloth w her <br /> Range hood Wa r heate <br /> Exhaust fan S k service/ r/mo <br /> Feat um ackflow rave or Inside bid <br /> Unit heater Urinal <br /> Boller Drinking Fountain <br /> Refrl eratlon Floor drain <br /> W oodatovei Grease°tra <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRI ESSION SY5.71EM Other: <br /> Number of H Other: <br /> I hent®by certify that I haven lead and examined this application and know the same to be true and correct.Ax provisions of laws incl ordinances governing ltlis type of work will be comp <br /> with whether epoolffgd herein or not.The cdtenting of a permit does not pr9sume to give authority to violate or caneal the proviSlon or any other stat®or local raw mgulaling const utiles <br /> That I am authorized by the owner o thle property to perform the work for which eppllealloh Is made and i comply with the State Contractore Law 18.27 RCW and 298200A WAC, <br /> ownarlth x Agent$Igoe v Da� ✓ <br /> (Revised 4/2015) <br />