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09/15/2016 THU 1C: 19 FAX F��t W�tCr Heater �003/009 <br /> � ��-bERnn��1" ,�Pp�rC,d►1"r��N ] �`��� .... <br /> �. - _ <br /> �UfLDINGlIVIECHANIC�AL/PLUI��ING/SI�N/SPRINKL,E�/D��1110LITI�N <br /> CITY OF EVBRE7T PERMIT SERVEC�S <br /> 3200 Cedar St., �verett, WA 98201 425-257-8a10 I=AX 425-257_g657 wwvrr,everettwa.orc� <br /> SITEADI7RE : � � �� ' PRa E rYTAXIt QO p �p <br /> r �O � <br /> LiEGAL For new canstruCtion: 3hort plat/suhdlvleion tot Na._.. � <br /> {attacn copy of long regal de�criprron) <br /> 01A/N�R C Phone/�-maff � �� � <br /> ,Address ._.. I�1 � w � <br /> CliylState/Zlp � 1 <br /> APPL,ICAMT:_Owner _Owner's Agent Contractor �CO�k�AGtOM9 AQ811� _Tg�flnf(mual p�ylde a letter of m�senf Ram Ne owner la do wo�ic In t�e speep) <br /> CONTF2qCTOR '� ��- State Uc.# W��� �����gus.L(c. <br /> Address � �� �� 1� �r '1'"F-�/U�.r (;...,[0 <br /> P�� �1J' t r Phane/Emal( prl��tl�� �M 1-� w'?zl � <br /> "�BUSI SS NA CONTACT FOR P�FZMIT a.f.�,�, <br /> ��� 1 � ��L�� <br /> Phone/�-mall � 4, � <br /> BUI��IN�3 PERMIT 4PPLIG,AT10111 GONTRAC7'pRICE OF WOFti( � �a� <br /> �xis#ing Use of Bullding AT'SOURGE: <br /> Proposed Use <br /> . Gae Elsctric otne� <br /> Building type: Stngle F �Duplex_Townh Multi-�amfly �Cammerclal • <br /> 7 e o�f ro act; Nsur+ Addition Remod I Re a� r.l_ Si n S rinkler Demolftfon • Chan e of Usa <br /> C�ESCRIPl'10�1 QF WORK(addrtlon�l spece provldad o� a b�o�; <br /> ����-��Y" �C,� �..� � � <br /> � �U�-� <br /> MEGHANa1CAL PERlIAIT APPL,lCATIt�N � <br /> MIBING pERM17'APPLICATION <br /> Typa of p�oJect: �Nvw�ddn ��Earaelore�R�pa�r ryp�of p oJeaE: Naw ddn <br /> Shaw Numb¢r # of fhituree —� _..Altera4lon_,_,_,Rapalr <br /> A/C--alr hgndlin unfts Sno NUmber of�hrturos <br /> FarCed a!r s stema Tollet „ <br /> Ges ! In �athtub <br /> Wat�r heater avato w�sh baaln <br /> Gas fire face S er <br /> Gas ran e Kitc en elnk& i os�l <br /> Clothas d er d�sh sher <br /> Ran a hooci Clothea a, er <br /> Exhaust fan �►ater he r <br /> �..�._. ._��.__ �.._._._. � <br /> Weat um �'�"��, ". .` 51nk` vic aNme IetC. <br /> tlnit heater Bac ow rev ter Inslde bld <br /> Boller nal <br /> Refrl eratlon rlhkin Fountaln <br /> Woodstvve Floor drein <br /> Ductin Qr�ase�tra <br /> Oiher Roaf dralns <br /> SPRIN LER Medlcal Gae <br /> PR�SSIO TEM other <br /> Nu eads " Other: <br /> I h�reby qettlfy tiha(f halvo r6atl mnd Axam�nmd thla qppllCalbn snd knoW the eema Io be trus and opl*ec�.AO prpvl6lona of lavrs mhd ordin <br /> wqh wAAth�r ep�Clned hereln pr�ol.Tho gr�nling ol a permlt Uoes not reaum0 to Ive �hoea goveming th{g rype ofwo�k Wlil be oamp <br /> Th I I u!h t�z�d y the ne�oF Ih19 pr periy Io perForm Ihe Work Por whlCh elCet o`ntlao eq@ @�Ind I oom�j ncel lhe provf�lon oF eny olher s6ata or loetel law reguleling oonetn,r.�bn <br /> �P p y with lhe State ContrsotorS Lew 18.27 riCW and 286.200A WAC. <br /> Ownar/Authorfz�d Agent 81gnAtura � ��� /� <br /> Dete <br /> (Rev/sed 4IZp48J <br />