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03/fl7/2pi8 wEo 13: 03 FAx �25 a15 6867 Fa�t water Heater f�002/dp5 <br /> � I��� <br /> P�R11A1'i'APP'LICA'�ION <br /> BLi1LptN� !M�CHANICAL/PLUMBINC3 !S1CN!SPRiND�CL�R/ D�MO�.tT10N <br /> CITY OF EVERETT P�RM17 SERVICE$ <br /> 8200 GEQAR STi���T,EVER�TT,WA 98207 <br /> (P)426-267•6890 ( FAX 426-267-8867 �(E)everelteps{�evereilwa,pov J www.ever9ltwa.goV/permfta � <br /> p��ea�or�I�acl� I�k�nt �#e��e) � R�t0.9�C7'�ITE(I�FOd2MAY10�I <br /> PROJ�CT 81T�AppR�55: ��� pROp�RTY TrhX#: �• <br /> � <br /> L.�GA�.Por new wnatn,otton_ Short Ptsbaubdtvlslan ______ __ Lot No. {e�ttaoh copy of lonp Iggal de9odptlon) <br /> CaNTAaY IN�ORMATI�NI <br /> aWN�R NAME: TENAMT NAME(if Comm�rctal): �� <br /> OWN�R MAILINa ADDRESS: srneer � � � . <br /> cmr arn� r�a <br /> OWIV�R PHOfdE: OWNER EMAIL: r'—""`� <br /> CONTRACTOR NAME; '� S� � T <br /> CON7E2AGTOR ADDRE38: B7RHBT � � ' <br /> CfiY � � ' STAT6 ziA 1 <br /> CONTRACTOR PHONE: ��,�j CQNTRACTOR EMAIL: P Vf� ITS �U,1 -�P/�', <br /> CONTR<1C7p17,LtC�N9�#(R�QUIRED): �� V�"� �j� CITY pF EV�RETT 9US1N�98 l.IG�N3�#(R�I�UIRED)• ��� <br /> PR[MARY CONTACT: 0 OWN�F2 CONTRACTOR C7 O'fFI�R(Please Sp6Clfy) <br /> coNTaC7 NANIe: cONTACr pNON�: ��� <br /> �V"� ���v� CONTACT EiViAtL: �,I-� C�--� .kQ,}t• �� <br /> _ _ �UILDINI6 PL�RIU�y�'APPLICA'I'lON _ _ <br /> � Exlstln Use of Bulldln � " Contraet Prlce of Work:$ � <br /> Pra osed Use oFBuildin : Heat5ouree: ae �Clectrlc ❑Other � <br /> Buildin T a: FR Datachad I�SFR At�Ch�d �Du lex OMaf�Famll �#of Unfts: �Commsrclal L7lndustrlal <br /> e of Pro eci: GlNew L1qddltlon C1Rem4dal R� afr �T_l.' I7Si n �S rinkler �Demalttfon C]Change of Use <br /> n�SCRIPTfOH aF Wo]�K: <br /> ��vV� 0�� � �`��10��� C �-S c�o�-�-�e�' � �Gl,fi�i'" , <br /> ASSOCiA7�D BUfI.pING p�RIV117# !F a Ilcable: <br /> M�CN4NICAL PBRMiT APPlIC1lT10N PLUMBINCti P�RMDT J�►PP�.ICATION <br /> Type aP ProJvct� �Iew _ Addn �iEeratlon „�,Rep�lr Type of Pro]ect: _New �ddn �ltsraflon �tepair <br /> F/xfuras �let�of F/xturOs Flxtu es Lfat of Plx-lurea F/xtures �!$t vf Flktare9 Flxtur'ea Llat vf FlXt�+l'a9 � <br /> A/C–AlrHandlin Unfts HeatPym ' BackflowP Veltte� Inelde$Id I <br /> � Forc�d Ail'9 tema Un t Heater B&thtUb Urinal <br /> ` Oaa PI In Boller l��vato Wash Basln Drink Fountaln � <br /> Water Heater RePr1 eratlon 5hower FI ratn ; <br /> Gas Flre lace Wood S�ve Kitchen Sink 8l�!s os�l rease Tra � <br /> Gae Ran e Duc11n 171ahwasher oof CSralne <br /> Clothea I� or Hooku e other: othes W�sher M �I Gae � <br /> Ran e Hood T[-1ea6aT Ofher: • <br /> Ekhaust Fan Slnk ' e/B�d c. Qth�r: <br /> S�+ f N B,SSIO M • � <br /> emlcal or W �----' .of Neada ' <br /> ACKNOW��RG�M�,,NT'/heve ieVlewed th�a epp!lCef7on�nd canNrm fhe lAfomfelfon Qonte/ned hel�In f6(YUA&qtl eomlGE WoYk d0/im pi!/auenP!0 fhlB pe/m/t mu8t GO/nply W/fh <br /> curr�nr fetlaral,afate,and local law.7hs prsnln►q ol e pe1'mlt onQr aufhor�z9s epproved woll(And no dBV191/ons fherehbi».Deyl�Npns ArGat Olst be evlha7zed In wrR/ng lYam fhe <br /> BuNding Oft�le!trefbre Deing aulhalsed und�r any clrcumslenca I em[he own�r or I am authaized by�he ownar o/(h�s properly lo pBrR�rm fhe work for whlch�ppllceflon Is made. <br /> end!cvmAly wif6 fhs S�ete Oontrectars l,nw iat27 RCW and2aaz0oA WAC. <br /> � a�o«ve�rr amcr��usa o�rr <br /> 3 _ � f f� P�RI�J'�',� 0 � V l <br /> �� r� <br /> Own ulliorze Ag 9lgnature Dale {f2evae 3/201 <br /> � ' <br />