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_05/18/2017 THU 1a: 13 FAx Faat water Heater �p�2/006 <br /> �13�I l <br /> P�RMIT/�PPLICATION <br /> BUILDlNG /M�ChlANICAL/pLUMBING /SIGN/SPRINKLER/ DEIUIOL.ITION <br /> CITY OF CVERETT PERMIT 6ERVECGS <br /> 3200 CCDAR S7R��7,L-"VERETT,WA AD201 <br /> (P)d2G-267•8910 � FAX 425•257�8a57 �(E)everoiteps@everellwe.gov� w�w��.everellwa.qav/permll8 • <br /> Blue or 8lack rnk Orfl P[easo) PI�OJkCT SNT� M�V��RMAXIO�d <br /> PkZO,I�Gi'91TE ADDRESS: ` D�, � �C PROPERTY TAX#: o<�D 'i� <br /> LEGAL for naw con�FrucNon: Short PlaVsubdlvislon lot N0. (aftacf�capy O(long log�l desCi'Ip11011) <br /> CONTEICT INFORMATIO� <br /> OWNER TVAME: TENqNT NAME 1�Commerclal): --�—� <br /> OWN�R�IAILING Al7DI��SS: e-rxs�r �- <br /> c�1v SYATE zm � <br /> 4WNER P!-ION�: a own[eR EMAII.: �— <br /> CONTRAC70ft NAMC?� '� S`r � `r <br /> CONTRACTOR ADDREB9: sraser � � � <br /> cirr � � BTA75 zip ` <br /> CONTRACTOR PHOfVE: �a s CONTRACTOR�MAIL: �(?V�1 IT S S�"UJ �. D <br /> CONTRACTOI�L�C�NS��(R�QUIFZED}:� 5"�w � � C�7�'pF�V�RETT BU8INFS�LfCENSE�Y(REql11HED�:����3 <br /> PRfMARY CONTACT: CI OWN�i� CON'1'RACTOI� �OTHER(Pieaae 5p9Cffy). _____ __ <br /> CONTqCT NAIVI�; CONTACT PWON�: L.(�� <br /> I�t"�� ���/[� CONTACT EMAIL: ���-� �-�� ,�.�, �� <br /> BrJELD1I�G 1>�RMI�'APPLlaAT10N <br /> � Exis[in Use vf Bulldin : Contract Price of Work:$ � <br /> Pro osed use of sundln : Heai Source� C�Gas Eleclrlc Dolher � <br /> BulidfR e; ❑S�l�-�etachaCl ❑SFR�Attachod �Du lex Multf-F&mll �Of Utllts: ❑Conlmerclal �Industrlaf <br /> T e of Pf0'ecf: QIVBW ClAddJtfon ClRernodel Re alr OT.1, ❑Sl rt ❑S �Inkler C�DemollNon �Ctian e oF Use <br /> DESGRIPTION 0�WaRK: <br /> ���M 0�� � ��,���C� �'iE�-�1 G ���� ��o�,��'" <br /> A9SOCIATeD gUII�qING P�RMIT� IP a I}ceble: <br /> M[CHANICAL P�RM1T APPLICATION PLUMBING PeRMIT APPI.IC,q,T10N <br /> Type oP ProJect, _Nsw Addn ,�Altarotlon Rapelr Type of p�o]ect: _New �ddn ,_Jlitaration �apalr ' <br /> u of #ul � �+o( �1 of ' <br /> F/xfuras �-�at oPFYxfurea ���urQg Llst o �xtures L/st of F�xtures Llst oPFlxturo� <br /> Frxfures Flxtures <br /> --Alr Fian Unfts He um To�let sackf(aw Praventer Inalde eld <br /> � �OfCed Alr S stems nit Hea�er 6ethtub Urinal <br /> Gas PI n gollef Lavato Wash Basln DYlnkln Fountaln <br /> ater Neater Refri erallon 5hower Floor Dreln , <br /> dse Flre fece Wood 5tove Kltohe�Slnk&Dls oeal Orease Tra i <br /> Gas Ran e uctln D[shwasher Roof Dralna � <br /> �othea D ooku � er: cioihee Waeher . Medlcel Gas � <br /> Ran e ood W�ter HBHter other: i <br /> [Xhaust Fan Slnk 3ervice/6aNMo /Btc. O1hef: <br /> SpgIN �$$10 M � <br /> �mloal or W .of Heado � <br /> ACKl+1oWL�Oo6MEN7`�have revlewed fhls appllcatlon end cor�Orm the Informellon aonlalned 1ie�eAi fs Irue arld corract.Work done puisuen�(0 lhls psnnit must comply wnJ� � <br /> curreni lederaR s�are,ena rooel lew.T174 Qt9»fJny Of C pen17l�071Iy Eulhahe8 approvgd wOrk and Ao dev/af7077S�hofmfr0fi7.DbVlallOAS roU3!U�sl Ae d4fh0�1zBd 1n wdling fiom fhe <br /> HulIdN�Q Ol/kl8!119f0/B being eulh�zed under eny dreumstence.1 dm flle owner,o!'J em eulho�zed 6y!he owner of fhls property�o parfe/m fh�Worlc lorW/11Q11 sppl/Cefbn Is made. <br /> end I comply wrtn r�a Sfa�a Gbnrrao(ora LAw 1 a 27 RCW and s+ael2ooa wAC. <br /> Cfly ofEversff Of71olel Use Only � <br /> �� l � � ! �- ��7�'�S , � � <br /> Own ��horze Ag Slgnaturo Date Revae 209 ) � <br />