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Dec 16 2016 07:37AM Washington Water-Caters 8663757454 page`3 <br /> PERMIT APPLICATION <br /> BUiLQIN II ECI-IANICA PLUMBING/SIGNISPRINKLER/ <br /> CITY OF EVERETT PERMIT SERVICES DEMOLITION <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www•everettwa.org <br /> $CTE ADDRESS:�j -p <br /> y1`I SCC PRDPERTY TAX# <br /> t <br /> LEGAL for new construction Si,ort Pla✓suboiv <br /> Lot No, (attach copy cf long legal description) <br /> OWNER P � `'/ %�//� �7� -�`R�on) <br /> Phon <br /> L elE mai! 7//2J /r �✓ DYLel'��– u O <br /> Address <br /> V( G City/SfateltpG(�'� (�� /O <br /> APPLICANT. Owner _Qpmer's Agent _Contractor <br /> _Contractor's Agefit <br /> _Tenant(must pmv de a letter of consent rom <br /> CONTRACTOR �L7lp� rtro a�a m ca am'k°"'a spas <br /> ddrP c r – .�� r, ' 4� State LiC.# �i`� <br /> r'�SJ 7 X� City <br /> A v- ✓L /_ /'� Bus. U.. <br /> NAP1i7E `' j PhonslEmail � - J j lii/L�ftJ(tf2V <br /> CONTAC FOR Pill <br /> I <br /> Tat f <br /> BUILDING PERMIT APPLICATIONPhoneiE_ it <br /> CONTRACT PRICE OF WORK O <br /> Existing Use of Building <br /> Proposed Use of Building HEAT SOURCE- <br /> Building type= Single FamilyGas c <br /> z Duplex_Townhouse —Multi-Famil <br /> ect Y _Commercial <br /> ne of Addition RernDdl <br /> DESCRIPTION OF WORK(addition ��provided on the back) <br /> al Repair T.I. Si n rink] <br /> Demob" �fUse <br /> M.E <br /> CHANICAL PERMIT APPLICATION <br /> PLUMRIttIG PERMIT PLICATION <br /> Type of Project .�New_Addn _Alteration_ <br /> Show Numb, Of fixtures a rr Type of Proiect: —No"Iln <br /> Alteration_Repair <br /> A/C–air handlin units Shaw Number # of fixtures <br /> Forcer}airs stems Toilet <br /> i Gas i in Bathtub <br /> Water heater La11 vato wash basin <br /> Gas fireplace Shower <br /> Gas ran Kitchen-sink&disposal <br /> Clothes d er Dishwasher <br /> Ran a hood Clothes washer <br /> E-Alaust fan Water heater <br /> meat ptimpIt service/bar/mo etc" <br /> Unit heater BackifI preventer <br /> tier Urinal <br /> Refri enation Drinkin FOUnt3in <br /> Woodsiove Floor drain <br /> Ductln Grea11 se Iii ra <br /> Other Roof drains <br /> SPRINKLER !SiUPPRESSION SYSTEM Medical Gas <br /> } <br /> Number of Heads Other- <br /> Other. <br /> therOther. <br /> t he ep <br /> Y certwy that I have read and oxanvned lMs a <br /> wypt ivh6ti'er PCa tion and know the same to be We and w,-re ci.4➢proyslons or tows and ordinances <br /> SPeCT91d herein or not.The granting or a Za Itt net presume to <br /> ;;amuthOrized by til owner of this pq�y to give mtthorly 10violate or Cancel the pravtston of any older Male«�ks �of work wHI be G9 mpl <br /> perfomt work forwh-filch apP�on is/made and t Cotnpl w*h the State Cone� taw�ulat'na���n <br /> mors L.aw l B.r7 RGW antl 29&200A WAC. <br /> utttortzed Agerrt Siyna re LJ <br /> t7 ate <br /> (Revised 912014) <br />