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6605 WILLOW RD 2017-09-25
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6605 WILLOW RD 2017-09-25
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Last modified
9/25/2017 9:18:06 AM
Creation date
9/25/2017 9:18:05 AM
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Address Document
Street Name
WILLOW RD
Street Number
6605
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02/10/2017 FRI 12: 23 FAX Fabt water Heater i�002/008 <br /> WERMIT APPLICATIOS (p <br /> BUILDING/MECHANICAL/PLUMBINGISIGN/SPRINKLER/QEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedai- St., Everett, WA 98201 4.25.257-8810 FAX 425257-8857 www.ever©ttwa.or0 <br /> SITE AIII S : O <br /> PROPERTY. <br /> ✓ <br /> �A7( <br /> L4 OL�JD <br /> LEGAL for new cohstruotlon: short Plat/subdlvlslan lot No. <br /> (attach copy of long legal description) <br /> OWNER �/ L Phone/F-mall a <br /> Address L4 City/state/Zlp q LL S <br /> 7 <br /> APPLICANT:—Owner —Owner's Agent Contractor Cantractor's Agent <br /> _Tenant(must provme a[attar of consent from the owner to do work In Lha space} <br /> colvrRgG//TOrz ' �'Tf} state Lfc. W#�1clt taus. tic. <br /> Addr®es �. t' � J� t�>r �VULI �' ���-- ,�p� <br /> -- Phone/Smallrq rt7 3 I'!!1 l",5 TTs� <br /> TIHNANT 8 SS N E CONTACT FOR PERMIT <br /> Gt 77 <br /> -T� 9J�44 k/:.�— <br /> Phorie/E-mall L *te'Ir <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use of Btlltding T <br /> Proposed Use of EAT SOURCE- <br /> Other <br /> Building typ • _ inglo Fain' _Duplex_TownhDMulti-Famll <br /> Y —Commercial <br /> T e of ro act: New Addition Remo t if Re a <br /> T,I, Sin S rinkler Demolition Chen e of Use <br /> DESCRIPTION Of WORK(eddlllonal space provided on fh®bac/d.: <br /> G/4+S- <br /> - <br /> MECHANICAL. PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo of Project: —NeW_Addn _Alt®ration_Repair Type of ProNct: Naw <br /> Show Number of f/Xtulas — „—Addn �Itoratlon�Repalr <br /> A/C—air handling units show Nu tures <br /> Forced airs stems Toilet <br /> Gas I In Bathtub <br /> Water heater L sveto wash ba In <br /> Gas fire lake Shower <br /> Gag ran a Kitchen sink&dis a al <br /> Clvthea d or Dishwasher <br /> Ran a hood Clothes waaher <br /> Exhaust fan water heater <br /> Meat purnp Sinkservice/ <br /> Unit heater Br ackflow enter dris a bldc <br /> Boller Urinal <br /> mefrl eratlarl I)rlrtk Fountain <br /> Woodstove FI r drain <br /> Dunctireae®'tre <br /> Othcar Roof drain <br /> SPRINkL.ER / SUPPRESSION SYSTEM Medical Qas <br /> Other: <br /> u Pleads <br /> hnroby gertllylhal I have n and and bxamtned this appffosllon and know the earno to be tru®and carrect.All provlelons of laws antl ordlnenwe poverning thlo typo of work wpl b®camp <br /> with whether epecltled heroin or not.The grenlang of a permit does riot presume to give authority to violate or cancel the provldlon or any othmr state or total Iqw re9uleling Const uallon <br /> rh®t I rn a Ihorfzed by the owner or IN,,prop®agy to perfo�Z, rk rorwhtch—/qt/t)plfcetloh la mpUs and I comply with the State n OF any <br /> itir o4aw to or RCw dhd 2902ng WAC. <br /> 3hyn®r1Aut r zed e v `O ✓ I <br /> 9 Slgnaturm Dete <br /> (FRevlsed 4120,16) <br />
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