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FEB/23/2018/FRI 11 : 31 AM Nori���ree[c l�oof ing FAX No, 425 411�524 P, 002 <br /> PERMIT APPLICA��ON <br /> BU1�.DlN�/MECF#AN�CAL/PLUMBING/S1GN/SPI�IlVKL�1�/DEIVIOL�T�ON <br /> CfTY O� EV�RETT PERM�T S�RVICES <br /> 3200 Cedar 5t., Everet�, WA 98241 425-267-881 D FAX a25-257-8557 www.evereftwa.org <br /> APPLICqT10NS AF2�,ACC�p7ED FROM 8 AM TQ�PM <br /> StT�ADDRESS: OU ��� � �� PftOP�RTYTAl(# M�p�y/��` � <br /> � v� <br /> LEGAL for new constn�ction: Shori PiaVsuDdiv(sian Lo[No. (�[tactt copy of lang tegal description) <br /> • �-t'1,,5-- c) — "3'�` <br /> OWNER � �� � �, Phone/E-maii <br /> Address V V\ � `, , _ Ci[y/Skatel,Zip ��� V�J � �U� <br /> APPLICANT:�owner ,,,_owner's Agent�Contractor _Contractor's Agent _Te�ant pnustvroade a teaero►mnaenttrom u,e wmzrm d ,sc in u�s soecaf <br /> GONTRACTOR V� \/`,L. L&f Lic.# ��/ �, QE eus.Li #,632c��( l <br /> Address ' ` �Q�..� � `� �t2, Phanel�tz�a�l �� , ^ � �� <br /> �'ENANT BUSIN�SS NAME O 7'ACT FOft PE[2MIT �aS�{„`n� <br /> Phone/E-inait Z�"�qS� ��� lQ <br /> BUI�.DING P�RMiT APPLICATION coN�rRqclr PRICE OF WORK Q� <br /> Existing Use of Suildin9 _ HEAT SOURCE: <br /> Proposed Use pf Building Gas ElecUfc Rther <br /> Buildingfype_ �Single�amily _Duplex�Townhouse �,Mulft-FaRZify _Commerciaf <br /> Ty e of pro�Ct: N8w Addition �t, Rerl7odel Repair_T.E. 5iqn S finklef Demolition_Chan a of Use <br /> DESCRIPTION OF WORK(addkfonal spacs provrdsd on thB baokJ: � <br /> �!�-U.( �'� �.pdV�,IP rf p�„�`�•�� �Qi��.�C9. W� �lV—!�1 C.0 Vv� `�d-�-t r� . <br /> v <br /> MEGHANjCAL. P�RM'IT APPI.lCATION FLIJl1ti�ING PERMtT APP[,ICq7iON <br /> 7yps of Project: �New Addn Alferation„�Repall' Type oF Profect: ^New_�4ddn AltBlatlon_Repair <br /> ShowNumber #j afflxtuYes Show/Yumber #}offrxtutes <br /> � A�C—di�handlirtg unifs � Toilek <br /> Forcad airs stems Bafhfub <br /> � Gas pi ing Lavato wash basin) <br /> I Wdte�hedter Shower <br /> � Gas firepla�e � Kitchen sink&disposai <br /> Gas ran e # t�ishwashe� <br /> E Clafhes d er f Giottaas washer <br /> Range hood � Water heatar <br /> �xhaust fan { Sink service/bar/mo IeiC. <br /> � Heat um � Backfiow preventer <br /> I Unit haater { Urinaf <br /> Bailer Drinkinq Fount3in <br /> Rafri era6on Roor drain <br /> � Woodsfove � Grease trap <br /> � Du�ting � Roof drains <br /> ( Othef � Medical Gas <br /> S�RINKl.ER/SUPPRESSION SYSTEM � Other, <br /> Number oF Heads � Other; <br /> �hsreby cerVry Inat I havs raad and�zamined�his applic38on anQ know triz same to ne We and cotrsct AA p�ovisions af yws and ortlinancas goveming tnis rype of worts w;n be wmp@sd <br /> �,vith whether specffied hsrein or not.The graaiing aF a peRnit does not prasume to gfve suthorjty to�iafate or�n�f Ihe D�ovYsian oP sny other state orlocsl Isw regufaGng ronslivction <br /> Thaf I am autnor¢eC by ths o�Nnarof�his pcvpsny 10 var�orm 1he work forwhicli apoticatio�fs mads a�d�Compfy with tha Slata Contractors�ew 18.Z7 RCW and z96.200A Nl��, <br /> �2�23 � t g <br /> er/Auhho�i�d 1 nt Signdture D2ts {Rsvisad CY20l2) <br />