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01/03/2018 WED 12: 22 FAX Fast Water Heater 0007/012 <br /> F'O=- PJflT APPLICATION gb q55 <br /> BUILDING /MECHANICAL 1 PLUMBING 1 SIGN I SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> .1-7 3200 CEDAR STREET,EVERETT,WA 96201 <br /> (P)425-257-8810 I FAX 425-287-8867 1(E)everetteps@eVArallwe.nov 1 www_evereltwa,vav/pormlta <br /> (Blue or Black Ink Onl PIease PROJECT SITE INFORMATION 1 <br /> PROJECT SITE ADDRESS: LLf Ucpgip Ej T`E7 PROPERTY TAX#: OC)4. l�Z D U O1)/IO( " ( <br /> LEGAL for naw construction: Snort Pist/eubdlvlaion Lot No, _ (attach copy of long legal donorlptlon) r� <br /> CONTACT INFORMA71ON . <br /> OWNER NAME: Y )t Vv �1 ��1 Y�Pr_ TENANT NAME(f Cornmorclal): V - <br /> OWNER MAILING ADDRESS: eTilEST q5 I . <br /> CrrY /l`l2(Pr'-'- <br /> STATE \/V 21P ggZ) <br /> OWNER PHONE: "l -5 355- tg-13 OWNER EMAIL: _ - _- . <br /> CONTRACTOR NAME_ fA ST Vi Al 'e---A:T-.i <br /> CONTRACTOR ADDRESS: STREET 1 • ft • S C I D(e 1 <br /> CRY f/ L /v�. STATE w k I zlr' I g D ` 1 4 <br /> CONTRACTOR PHONE: `!;5 I - CONTRACTOR EMAIL:F' zoil i S l v�i 15\"wooArvnAt'r, f1Uvl/I <br /> CONTRACTOR LICENSE#(F2EQUlRED):f5-"wW l-i�`Ag SC.- T Tcrry OF EVERETT BUSINESS LICENSE#(RQUIRED)b b(-153 <br /> PRIMARY CONTACT: 11 OWNERCONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: n 1 CONTACT PHONE: q d ,,L, - g L/ <br /> \ <br /> (./8r `` C"7 L CONTACT EMAIL: 9 f/61/1,j"t t-i,00ti rw, G6) <br /> uBUILDING PERMIT APPLICATION <br /> • <br /> 1 r Exlstin9 Use of Building: ' _ Contract Price of Work:$ .- LI X <br /> YI Proposed Use of Building: 5 C Heat Source; OGas lectrlo �70thar -*- <br /> Bulldinp Type:CI FR-Detached ©SFR.Attached UDuplex UMultl-Family-#of Units: DCommerclal ❑Industrial <br /> T a ofProect: °New ClAddItion ©Remodel IhARe•elr DT.I. DSI n C1S•rinkler ClDomotltion ❑Chan.,eof Use <br /> DESCRIPTION or WORK: <br /> ASSOCIATED BUILDING PERMIT#(If eepllcebiq <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo of Project: Now Addn Alteration _}Zap Ir Type of Project; New Addn _Altoratlon .Repair <br /> Fixtures ores Fixtures List of Ix-tures 2 Hat of Ffxturee Fixru es List of Fixturee <br /> 1,41C.-Air Handling . Its H ump- Toilet Backflow Preventer(inside Bldg) <br /> Forced Air Systems nit Heater Bathtub Urinal <br /> ,. Gas Piping ,'Boller Lavatory(Wesh'SasIn) _ Drinking Fountain <br /> Water Heater Refrleeratlon Sh• ower Floor Drain <br /> Gas Fireplace VVood Stove Kitchen Sink&Disposal _ Grease Trap _ <br /> Gee Range •ucting _ - - lifshwasher Roof Drains <br /> Cloihos Dryer Ho. pa 0 •or: 0,.Clothes Washer Medical Gas <br /> •a Hoo. - Water Heater Other: <br /> Exha = an r _ SInk( ServIce/Bal'/Mop/etc.) Other: <br /> SPItINf L. gSSIOwSYSTtM - <br /> 16mIcel or W . ,of Heads <br /> A CKNO WLEDOEM4N7.•/have reviewed this epplloatIon and confirm the fnformeden contained herein is true end correct.Work done pursuant to this permit must comply with <br /> currant fedare&,slate,end local law The granting of e permit only authorises approved work and no deviations therefrom.Deviations must first hs aulhor/zed/n writing from the <br /> Building Official befot®being authorized under any circumstance,1 em the owner,or I am authorized by the owner of this property to perform the work for which application Is made, <br /> and I comply with the State Contractors Low 10.27 RCW and 2110,200A WAC_ <br /> City of Everett Official Use Only <br /> /404/ I ,-6�.,1 Li 1 - 3- I ' t�E ` -Off. 5 <br /> Own? •uthpr za:Age 'SIgnature Date "(ReVisod 9723/2090 <br />