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09/19/2�17 MON 15: �2 FAx Fa�t water Heater �J003/009 <br /> � • <br /> �� � ��� <br /> p�RnniT,ap��ics�7�ro�v <br /> B�9ILDIN� /M�CHANIC.4L J PLUMBINC3 ! S1Ci�l/SPRIN6�CL�R/ DEMOl.l7'fON <br /> GITY pF EVERET'�'P�f3M1T SEfiVIC�E$ <br /> 3200 CEDAR 9TRF�T,�VER�TT,WA 98Z01 <br /> (P)426-267�8814 � FAK 425-267-88G7 �(E)everetteps(�evereUwa.9ov� www,evareltwa.g❑v/parmlt9 � <br /> l�lu�or Blaclr Ini�Onl Please PitO.d�C��SITE INF�H2M�#�'lOMdf <br /> 1�EZOJk'CT SITE ADDR�59: �� � K- � p�tOP�R7Y T�AX#: �1 �� ��f � <br /> L�GAL For new construoHon_ Snort Pletlaubd{vlalon Lot No, (attech copy o}lang leg�f desorlqtfon) <br /> C�NTACT INFOFtf'UTATMON <br /> OWNCR NAME: ��O rn � � TENANT NAME 1f Gommerclal): <br /> OWN�R MAILIN�ADDRESS: sraQer � <br /> Ci/Y 9zATE 21P A(J <br /> OWiVER PMON�: OWN�R�MA1L: <br /> CONTRACTpR NAME; '� S� <br /> CONTRACTORADDRES3: srREEr � � � <br /> C� 1/ � ' 6TAT6 zlp I <br /> CONTRACTpR PHON�: L'� 3 CONTRACTOR�MAIL: �VP'� 1T S �"I,U �, <br /> CON`i'i�ACTOR LICEN9E#(REQUiRED): ��' � �G CITY OF EYC-REl?BU91N@S3�ICEN9E#(REQU�R�D; "1�3 <br /> PR[MARY CON7ACT: � OWN�R CONTRACTOR �OTHER(Pfeeeo SpaC1Ey) <br /> GONTACT NAME: CONTACT pHON�: �p�'� <br /> t�Y� 1`5�C"1 �/� CONTACT EMAIL: �,�� .�X. �� <br /> BUqLDlI�f3 PERM�T pPPL1�A'�IdN <br /> � EXlstln Use of Bulldln : " ContracE Prlca of Work=$ � <br /> Pro osed Use of Bulldi q: Meat Source: as DElectric DOther � <br /> Sulldln e: �ISFR-Detsched �S�R-Att�Ched ❑Duplex Mult�-Famll -#of tJnits_ ❑Commerolal ❑Industrla! <br /> 7y e of Pto eo�: ❑New ClAddltlon C7Rernodel Re afr l�T.r. C1si n ❑S rinkler L7DemotlElon L]Change of Use <br /> t7�SCRlp1'10110�WQf2K: <br /> �w� p�� l �e��a.�� C L3-5 ►�o��-�� � �a,�� <br /> ASSOCIATCD ElUILDINa P�RMIT Y� IF a Ilca6le: <br /> M�CWANICAL pL�FlIyI1T ApP�.�CA'w"ION PLUMBING PERMfT APPLICATION <br /> 7ype oP Profect: �Vew ,� Addn ,�Iteratlon _Repalr Typo of ProJect �Naw ^P,ddn _�1lteratlan Repe3r <br /> #or L/si o�°�Ixtur�s �of �.let of Flxtures �ef Flxturea '�of [.�st oP Flxt ea <br /> Flxtures �Ixturas Flxtures Flxturea � <br /> A/C�All'Hand{In Units Heat Pum orlet Backflow Preve I' Inslcl9 Bic! <br /> ;� Fo�csQ Air S stems Unit Meafer Bathtllb Uflllai <br /> ` �as Pl (n Boilar Lavato Wash 6asln Drinkln untaln � <br /> Water Weater Refrl eratfon Shower o raln � <br /> Oaa Flfe (aGe Wood SfoVe FCftchen Sink&Dfs osal a Tra � <br /> Gas Ra e Dua(in Dlshwasher Roof Ine <br /> Clothas D r Hoolcu a Oiher Clothea Wash�r Niedical � <br /> Ren e Nood Water Heater OthBr: <br /> Exhsust F�il Ink Service/Bar/Ni �, Othar: <br /> SPRINN ���NO M <br /> emlc�l or ,af Heade ' <br /> ACIWOWLEfJGEN1�NT.(have r�vl9weq fhl5 epp/loaUol�8nd cOnllm��ha lnPormaHon confelned haYefn(s tluB eqd CotreCf,Work dans pUrSV9ot fo fhls pemrlt M(I6!COmply WkA <br /> cu„-ent lederel,stela,entl looal lew.7Bo granlJng of a pormR only eufsa2ae epprovad woik and no devlallons lhorelrvm,pevlaf/ons must!/isf ba authorized(n wrltfng 1Yom the <br /> gullding OlNcle!6a/oiB being eufharhed under��y ckcumsrance,/e,n th�ownar,or 1 am eufharlxed Ay Iha ownnr of fhls p�bperty�o perlb�m fRe worlr�or wMlch appl/cell�rt Is mada, <br /> antll�omply wRH fA�Sfafe Confract�rs LAw 1B.27RCW antl29d200A WA� <br /> Clry or�ver�k ornora�usa onry <br /> / I �/ � /� PERMIT <br /> T V I rV <br /> own r.authorze Ag slgnatura Date (Revlsed9�2312016) <br /> _,_._.....,.,',-,-..,_-I.�.._..-.,_�._.._.._. �, • <br />