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O1/2a/2p18 wEo 13: a2 FAx Fast water xeater f�006/006 <br /> gns �� � <br /> P�F2�II'I",�I�p�ICArioN <br /> �UII�DING/ME'CHAr11CAL/ PLUMBlNC3 !S1GN /SPF2II�IKLER/ D�MOLITIOAI <br /> c�7Y pF�vFRcrr nEaM�r sERv�c�s <br /> 320o C�oAR STR��7,�vER�r7,WA 9820� <br /> (P)A25-257-8810 � FfU(425�257�8867 J(C)a�aretteps(�evereliwa.gov� www.evereftwa.gov/permfte <br /> �lae or�lack �nfc�n0 �I�Qse PIR��A��'If S�T� pNFOfZMElY��N <br /> I�F2UJ�C7 31TE ADDRC3S: � pROP�R'TY 7AJ(�: U � <br /> LEGAL for neW oonatructlon: Short PIaU�ubdlvlslon Lot No..._. _ (etc�oh copy of lang legai d�soripllan) <br /> CONTACY 11VFOD�MATyOd� <br /> OWNER NAM�: ��� TENANT NAME I1 Commsrcla[ : �— <br /> OWNER MAiLING AA�I�E55: sm��r � l� � �' <br /> Gm' 6TATE �" 31P 3 <br /> OWN�ft PHONE: �� � OWN�R�MqIL; <br /> GoNTRACi'OR MAM�; 'r! S T <br /> GONTRACTdR ADDREs9: erReEr � S <br /> c�'�' V � 8ra� zip 1 <br /> CON7I�AGTORPHONE- —f,� � CONTRAC70R�IVIAIL: ��,UY1 �TS �LU ��/Y, <br /> CONTRACTOR LIC�N9E#i(FZEQUtR�D):� �' � G1N OF EVeRETT HU$jTdE68 L�CENS�#(R�QUlR�D) ���j <br /> PRIMARY CONTACT: 0 OWNER COIJ7RACTOF� ❑OTWER(Ple�se Speclfy) <br /> G�?N7ACT N,4ME: CONTACT PHONE- �� <br /> K�� ��` I �� CON�AGT FMAIL: WI�I�S -}vr , �VI <br /> BUflLA1R�AO P�RMIT APPLIC/o1T1�NJ <br /> � �xfstln Use oP�ulldln : " Contract Prfco of Work:$ � <br /> Pro os�d Use of Build�n�; Heot Sour'Ce; QOas fectric �OEher � <br /> BulfQln 7 e: �IS�f�-i�etached �SFR,Aitached OD�i lex ulft-Famil -#of Units: ❑Corpmerclai L7lnrlustrial <br /> 6 of Pro eCC; ❑NeW ClAddition ❑Rerr�odol Re air ❑T.l. 057 n �S rinkler ❑Demolltlon ❑Chan e Of USe <br /> p�sca►�rio�v o�woax: <br /> �v� p�l� � r2,�1��� �12C�`L �^-�a��'� � � r�,�� <br /> A350CIATED BUILDfhla PERMIT# ff ap �Iceble; <br /> M�CI-KAhIMC,I#k.P�I�MIT APPLICATION PLUMBIl�G P!"�(Vtl'f'pPP�I�q'Y'�ON <br /> 'rypa oP PYof oct: _,�faw ,_ Addn �iEeraElon Repelf Type oF Projact� �New ,T}lddn <br /> ,_flltaration _Repalr <br /> F��� Llsf OP Flxfures ��u�9 Llaf �Xtures FlXfures ��st of Flx2llres �Mu� Llst of FlNtuYAa <br /> A/a�Alr hlandlln Untts tl� pu�n Tal1�t �ackffow PrevenFor Inelde Bld <br /> � orca stema nit Heaf�r Ba�htub L1rin�l <br /> ` Gae P{ Fn .Boller Lavato Waah Basin Drinkfn Fountaln <br /> Water H�ater RePrl eratlon Shower Floor Drain <br /> Gos Fire laca Wood Sfave Kf4chan slnk&Dle�osal Orease Tra <br /> Gae R$n e Duoting Dlshwas er Roof Dralne <br /> lnes D er u a Othe�: Clothes Washor Medlcel Gas <br /> Rsh W&fer Heater O#her <br /> Ekhaust Fan Sink 5ervlcelgadMo etc, Oiher: <br /> s��rM ����o � <br /> emlCal o� of Heads <br /> AOIGVOWL�oG�M�,NT--l have revlewed fhls appJroaffon antl oondrm fhelnformetivn cvnleMad hereln Is Lwe anp uvrrecf, Work tlaro pursuent to thls permit must comp�y wllh <br /> current tedera/,sta��,end fooel/ew,TBe granfl,rg of e permq a�ly a�thorizas epprov�d work�nd no devle0ons tNareflvm.DevlaNvns musf Aisf Ge�ufhonYed ln wrlNng/Yum tAa <br /> Bu!!ding 01!lClef bef0ie treing aufhoiized underany CllGU/nSfellCB.(gp7 thB owner,oTl 8In 8u(hp�(z6d by the ow/ler of fhla pmD817yl0 p6r/P�/!7�R�WOYh fOr Wfllch 9pp1/09HOA T6 fYiadB, <br /> end/comply Wlth(h9 Sfate Conitactvl'8 LaW y8_27 RGW�nd 288.200A WAG <br /> _ Cltv oP�vnrsir nrnr,�a�rls�01T1y <br /> -a� �t 8' ����� � � � i; - �,`=�� ��� � <br /> Own uthol'ze Ag ret9[gnatwie Daee (ReV18BU9/7.3/209B) <br /> , <br /> -- -.M�._,._��.,..-..._.._._..Y_._...._.-- <br />