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09/05/2017 TUE 12: 06 FAx Fa�t w�ter Heater 1�005/005 <br /> �.�.�... ��...�-, —,....._, _ - ..._._.....�,...._._._....�.. - -- <br /> ��4r�-y+-Y.-v�.�-��r �. <br /> I O�'O � <br /> � P�RM1T APP�.lCA'FI�N <br /> BUILDlNG!M6CHJ�NICAL/PM�UMBING/SIGN/SpRIN4C1.1�lZ!DEMO�IT'l�tV <br /> CI'fY�F CVERET7 PE�MIT SCRVICGS <br /> 3200 G�DAR S7F���T,EVERETT,WA 90201 <br /> (P)423-2157-8810 � FAX 423-257�8857 �(E)everstteps{�avare��wa_gov� www.everat[wa_gov/permlts � <br /> �lua o���ack Ink Only Pl�a�e PEtOJ�C'�SAT�M�IF�RMATMON <br /> PRQ.IECT 317�AqL7R�SS: � PROPERTY TAX#: ,�a � <br /> ��GAL for new construcGon: Snort Nl�Vaubdlvlslon Lot No,_„_,^ (alfacb copy of IonQ iega�deacr�plion) <br /> CONT�ICT 1NPORMATION <br /> OWN�R NANt�: T�NANT NAM�(If Cpmmer�clal}: <br /> owN�R MarUN�A�aR�ss: srn��r � <br /> cm arn� vp <br /> OWhf�R PHON�t OWN$R EMAII.: <br /> CONTRqCY0F2 NAM�� '� 5T � <br /> CONTRACTOR ADDRE33: emEEr � �j � <br /> � Qm' {/ � ' 6TAT6 LP I <br /> CONTRACTOR I'HON�: —1� � CONTRACTOR EMA�L: �VYI I�T J �-�,U �P/r, <br /> CONTRAC701i LIC�NS�#(REQUERED): 5�"" � �jG aITY OF EV�Re'rT B�B[N�eB�iCet�Be�{AEqU1�D) ��3 <br /> PRIMARY CONTACT: .0 pWNER C�NTRACTOR G O�H�R(PIes86 SpeCfEj�} <br /> GONTACT P1AlYIe: ,�'` � CON7AGT�NON�: t..��" <br /> Kl`�� ,`�f�� CON�ACT SMAIl: r IN��I�c �. �/(�� <br /> BU1LDlNG PBRIUIIT APPWCATION <br /> � Existln Usa of Bulldln : Co�tracC Prf��of Wvrk:$ � <br /> Pro osed Use of Buildin ; Heet Squrce: Gas C]Elactr�c C�Other � <br /> Bulldln T e: �SFR-Detached �SFR Attachad ODa IeSc Mt1ltt�FBmll -#of Units' �7Commel'Clal C�1ndustriql <br /> e of Pro ect �New �Addition �Rernodel Re air ❑T.1. �Si n ❑3 rinkler ODemalltlon l7Ch�n e oP Use <br /> DESCRIPTION OF WORK: <br /> ��nn ��� � ��e,��o��� ��.�5 ��.�-� 1�e�,-�� � <br /> ASSO�IAT�D SUILpINCy PERMIT# !f e llcehie t <br /> M�CHANICE'AL PBRMIT APPLICATMON P�I�MBlN�PL+RlV�17 APPLIC/1TION <br /> Type oP Prv)ecL ,_Naw,,,,_, Addn �}1lteratloa �opelr Zypa of ProJoc� _New ,_p�ddn �Iteratian �Repair <br /> #oI usf oP Plxtur�s �of ILIs[of Flxtures *vf sd o #nf Glet of Plxt , <br /> Flxtures . Flxturas Flxtur�s F/xtures I <br /> A/C�Alr Hancllln U�Its Heat Pum ollet Backflow Preve r Insfde Bld � <br /> � �orced Alr S tems Unit Meaf�r Bathtub iJrina! � <br /> Qas Pl In B o i l a r L a v a t o W�a h g a s l n D r l n k l p F k a l n <br /> Water Neater Refrl eratlon Shawer Ftoor Dr n ; <br /> Oea Flre face Wood Stove tchen Slnk&Dls d98I Ore 7ra � <br /> Gas Ren e Dqctln ishwaaher f Draln� � <br /> Clothas D er l-tookU Ofher: thee Waehe� e ql Gas i <br /> Ran 9 Hood , W r Mee6ef Other. �. <br /> Exh�uSt��n Slntc ivic�/SarlMo etc Othet; � <br /> SP �W- IO M � <br /> �e�o�W ,of Neads ' <br /> ACKNOWL�oGEM��V7'1 Aave r�vlauretl tr,ls appJlcatlon and contlrm rhe leformallon confaJnad hereln!a Uue and carecl.Work dons Awsuent fo fhA�pe►mlt muat comply w7th � <br /> carrenf leUaral,atafe�and lacal faw.i'ha g�enling of e permlt only sufhorJzas epproved wor��nd no davlallorts lAorARrom.oavrst/a►xr mu�t llrse De autnorlisaf�►wdtlnp/rom the � <br /> 8u!ldl�OHklal befiore 6elnq arufl�anssd under any clmu,r�etancm.I em fhe owner,or!Sm aufha�zed by the ow►rer of fhfs prop��(y fo perform fha vrodc forwhlch applfc&flon Is matla, <br /> entll eomply wflh�ha 3lafe Gbrrtmctors Low?8,27 RC►N end 296t2a0A VYqG <br /> Cliy of Everetf dH�laf Use Onfy � <br /> /�✓ ' P�R I �F � O` . <br /> Own uthor z Ag slBnaluee Dafe (ftev so 3 0 ~ <br />