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02/10/2017 FRI 12: 26 FAX Fabt Water Heater a008/008 <br /> ERMIT APPLICATIc Ite( ,$ ... <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 9820.1 425-257-8810 FAX 425-257-6857 www.everettwa,org <br /> SITE ADDRESS: 6/ g-1) <br /> D PROPERTY TA}(# <br /> LEGAL for new construction: Short Plat/subdivision Lot No. <br /> (attach copy of long legal deecrlptfon) <br /> OWNER ' & an • F- L'4 4 Phone/E-mall 3 am <br /> Address Ak A CityI8tdte/ZFp - /` 4+4 t.AzA '1& 3 <br /> APPLICANT:_Owner Owner's Agent Contractor Contractor'sent <br /> Q Tenant(mull provide a letter of eongent from(ha owner to do*Orkin the apace) <br /> COl►ITRACTOR �' <br /> A t1'F State tic,# A'1kAho , T i Ity Bus.Lic. •"Ziyi <br /> Address M ~ U r • '' ;i( ( <br /> f . . ... 1...!. 4tfl Phone/Email 961/3 , Lam•' e1` yVl l" ,S 1T•t -�'e <br /> CONTACT FOR PERMIT <br /> ). L <br /> Phone/E-mail . " 7 ra1(i.'>Ii { * <br /> ir <br /> HUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 6v' <br /> Existing Use of Building3 •A -'o" <br /> 1 (EAT SOURCE: <br /> Proposed Use o s. <br /> Mr Das 0 iectric Other <br /> Building type: D' ingfe Pam Duplex Townho -_ _ Multi-Family CommercialT .e of.ro ea: law Addition Remodel AMIE!,:.: T.I. Sf.n S.rinkler Demolition • Chan.e of Use <br /> DESCRIPTION OF WORK(additional space provided on i : <br /> PA/AA‘reiirtpkek c-se., 71-,--.Ss ., L1061444-- 1A100-e4-- <br /> MECHANICAL PERMIT APPLICATION l PLUMBING PERMIT APPLICATION <br /> type of Projace: N®w ddn --, <br /> _�A _Alteration Repair Type of Project: _•_,New_Addn _Alteration_Repair <br /> Show Number of fixtures _ Show.am•or <br /> NC-air handlln• unite l/of fixtures <br /> Forced air systems To <br /> _Forced <br /> •i•In!air --� Becht • <br /> Water heater - Lrsveto : wash basin) <br /> Gas fireplace • shower. <br /> Gee range ••• •...r• Kitchen sl &disposal _ <br /> Clothes dryer Dishwasher <br /> Range,hood — Clothes wash r <br /> Exhaust tan Water heater <br /> Heat•um• Sink servic , a./etc. <br /> Unit heater Backflow -revent= (Inside bldg) <br /> Boiler Urinal • ' <br /> Refrigeration <br /> _ Drl• n.. Fountain <br /> Woodstove oar drain • <br /> Ducting Greas®�tra• <br /> Other Roof drains <br /> SPRINICL- ' -- Medical Gas <br /> .�,1E.-u : ;,_SIGN SY- M - <br /> —__._.__.. Other <br /> -11060.1,11‘1111P <br /> Other: <br /> I hereby oertifylhat I have read and examined this application and know the same to be Prue end correct-All provisions of Taws end ordlnancee governing this type of work Will be comp <br /> with whether specified herein or not.The granting of a permit does not presume to give authority In viclete or canoel the provl'skm of any other elate oi'IOCal law regulating construction <br /> Thal I em others: d by the owner of the property to perform the work km Which <br /> applWellon la made end I comply with the Mete Contractors Law 18.27 RCW and 296-200A WAC. <br /> ido 1 1/4- A , <br /> ,wn®r/A n-"1"-. aa gent5lgnst� `�' • ` O V (42_ <br /> Date (Revs&ed 4/2015) <br />