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PERN�IT APPLIG�TIC?�I
<br /> Bt�IL.DING/I111E�HANI�ALIPLUME�INGISl�N��[�R�NK�EFtIDEII�(�LITIt�N
<br /> CIT� 4F EVERETT P�RNlIT SERV�CES
<br /> 82C}(�Csdar S#,, Everet�,UV�98201 425•257=88�0 FA�C A�5-25'T=8857 wwweverettwa.r�rg
<br /> APPUC{11"tC1NS I�RE A�CEPTE�FROM 8 ANf T0 4 PN1
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<br /> 3200 Cedar Ave. Everett W�98201
<br /> LEGAL for new conslrucdon: Short Ptat/subdivision lot No.�,,, (attach copy oflong l�al desariptiota}
<br /> ���R ' PhonelE»mail J�ff Harris-425-51 Z-61�7 �
<br /> Ac�dress P4 B+�X 9 2130i �ity�scate�ziR Ever.eft, 1NA 982Q't
<br /> APPLIGAN7:i OWfII'f _OWI'i@t"S f\„qQ!'If „�COq�EBCIOf _,_,GOflll'8CfO1�S A�9ht _,,,,,;T2tf8112 Cmust prwide�kettei'otconseM{rom�ha owner t64ovwrlc in the spece;
<br /> cpr�r�ncToa D.�. S sterr�s, lnc. - DKSYSI*982L1 �.8�i��c:# 030,�28-00 COE 8us.Lr`e.�
<br /> AddreBg PQ"BC�� 886, BWt`li�t tt3tt,
<br /> WA 9$233' t�honet�mai�360-7��-1555
<br /> s�� _ corvrAcr o ;w��n�iT parron Drake�60-770-095p
<br /> SENIG� t��tt#�C"#1 Pt��el�-ma�� darron@dksystem:sin�.com
<br /> BULLQING PlRM1T APPLICATIQN �t�Ni'RACT PRtGE�}f WORK $�,�Qf�:��
<br /> ��s���,�use of�u��d�n�. ity Admir�. �ces ��,�r seiu�c�:
<br /> Praposed Use af Buitd�ii�_ City Ad#7�Iri t�ff�CeS �as ��;� atne�
<br /> 8uiltlin9 tYpe, �.8ingle Family _[}upiex„_,_7awnhcs[rss,_,,,_,Mu(#i=Family �Commerc�al :
<br /> T of ro'ec#: R[ew Atfidition Remodal Re air T.1. Si n S rinicler Dsmo}itic�n Chan e of 13se
<br /> DE'�uCRlP'�fOhl��WC1RK tarldit�oaa!space provided�n the beck):
<br /> Ins#ail{1)N�nr Gaikin Duetless Outdoor Mini Split�ys#em Hea#Purrrp w/3;Waii Mount Casse##es&Refrig�ration piping.
<br /> MECHAMICAL PERMIT APPLICyAT10N PLUM�iN6 PEItM1T APPLICATION
<br /> ?yPeafProject: ,,,,,,,,l��w,,,��„Addn �,Altere#fon,_12ep@fr ?ypeotprojeak: �New_Addn,Alt�reflon,_Repafr
<br /> 5how Number{# aifixtares Shaw Nurr+b.er(#)o�tixtures
<br /> AlC—air handlin units _ Toile.t
<br /> Farced ai�s stems 6athtub
<br /> Gas i in _ I.;�uato w�sh basin
<br /> Water heafer Shawer
<br /> Gas fiirs lace: K€tcMen sit�k&tli�:osaf
<br /> Gas tan e Dlshw�sher _
<br /> Cfothes d er Clothes vrasher
<br /> Ran e hoad' Water heater
<br /> �hauSt han 5ir►k servicelbarfm�o let�.)
<br /> HP.�t U�i'I, $8Gk#l�YW f8C
<br /> lJn'tt i►B'8fer tJrlrfa�
<br /> Boiler _ D►`tr�kin F�untain
<br /> RBfri eratinn: Flaordrain
<br /> WoodsEave �rease#ra _
<br /> D�ctin , Roof drains
<br /> 4thsr ` Medi�al Gas
<br /> SRRIN�LLR!SUI�PRESSr1�DN SY'S�T�M t�kher>
<br /> hlurr►ber of Heads Other:
<br /> l h�eby certiry that!I�ave read aad;examined this epplic�ii�n and know tb�same to be.W e arsd correcl:i4�provisions af Iaws and oMinances gpvsmirfg this lype of wotk wiN be cotnplied
<br /> with wh2liier specitied herein or ridt.The granting oT apermit doea notpraSyms to give authun'Ey to violate ercancel the provision of any other sFate 6rfocai 18w reguisting constnrcGon
<br /> That l am authorizetl by the awnetof Ihis propeAy ro peAorrn the work.tor which appYcation is ri5ade and€`campiy wikh'�re State ContrecWrs�aw td.27 RCY�and.296.200A WAC:
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<br /> ���'�"Y1�!.,! 1�11472017
<br /> 0 dAuShor��g t Signatu Date (Revised fiP2012)
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