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03/07/2018 WED 13: 04 FAX 425 415 6867 Fast water Heater Il004/005 <br /> PERMIT APPLICATION <br /> BUILDING /MECHANICAL I PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 96201 <br /> (P)425-257-8610 1 FAX 425-257-8857 I(E)evarettaps@everettwa.gov I www.everettwa.gov/permits <br /> Blue or Black Ink Oral Noose PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS; ��I�ergil i w—I PROPERTY TAX#: 0 0 y ji 'MIX I P V <br /> LEGAL for new conatructlon: Short Plnt/subdIvIsloq Lot No, (attach copy of long legal dasorlption) <br /> - <br /> CONTACT INFORMATION _ <br /> OWNER NAME: % "A ' d TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 3 I 4� exe. i _� <br /> CITY Kj _ STATE f'r z -f L <br /> OWNER PHONE: r g OWNER EMAIL: - <br /> CONTRACTOR NAME: rw ST i i <br /> CONTRACTOR ADDRESS: aTREET )'+15- N 01{1Q .2,11_ S , .(p <br /> onr v aTATs A A IIP ` O g V <br /> CONTRACTOR PHONE: (--i';5 (6,31.1.-+-03\1\ CONTRACTOR EMAiL:p e m a 5(66 I U,,Ioty.,r1/t Q r. /pm <br /> S- 1 <br /> CONTRACTOR LICENSE#(REQUifRED);�A- �'�AJk �O�a�_1 ! ,CITY OF EVERET BUSINESS I ICENSE 0(REQUIRED)D C 1(' 3 <br /> PRIMARY CONTACT: I]OWNER (CONTRACTOR 0 OTHER(Please Specify) - - <br /> CONTACT NAME: ` CONTACT PHONE: 1_4 ,.)(j, UH <br /> KA---P-3 � T"f� 'CONTACT EMAIL: ,11-5 ' etym <br /> t�Q` <br /> BUILDING PERMIT APPLICATION <br /> � Exietln. (lee of Bulldin /i Contract Price of Work:$ ,5�K -�IL, <br /> — <br /> Pro. to ` <br /> 1� Heat Source: !Gas MElectrlc ❑Other <br /> Bulldin:T .e: KFR-Detached E1SFRAttached DOu•ION OlMultl-Famll -#of Units: [Commercial Dlndustrial <br /> Type of Project: [New ©Addition DRemodel A Repair 07,1. I!Sign CISprinkler ODemoiltIon 1JChange of Use <br /> DESCRIPTION OF WORK: <br /> fe,\An D\J.C, 1 ire,OAcCA S w a-A- (\ca,-.ter <br /> ASSOCIATED BUILDING-PERMIT#(If eppllcable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> `Type of Project; _Naw_ Addn ,__Alteration _Repair Typo of Project: _Now _Acidn _Alteration _Repair <br /> Fixtures Mres <br /> ee of Flxturea Fixtures List of Fixtures F List of Fixtures IXturesFlu List of Fixtures <br /> A/C-Air Handtin Units Haat Pum To (inside Bldg) <br /> ilet Backflow Prevent. <br /> L, Forced Air Systems nit Heater Bathtub Urinal <br /> Plpinti Boiler Lavata -ash Drinkln Foun n <br /> c)Gae <br /> Water Heater -- Refrigeration or Floor Dral <br /> Gas Fireplace Wood Stove Itchen Sink&Die osal Grease <br /> Gas Range Ducting Dishwasher rains <br /> Clothes Dryer Hookups other: Clothes Washer. edloal Gas <br /> Range Hood Water Heater r: <br /> Exhaust Fan - - k(Service/Bar/Mop/etc. Othe , <br /> SPRIN..1 -, - ` __-gSSIOIg. TeM <br /> •lemicsl or W:• -• • '. •.of Heade <br /> - fr <br /> ACKNOWLEDGEMIONT:1 have reviewed this appllaatlon end confirm the inronneiion contained herein ie true end correct.Work done pursuant to this permit must comply with <br /> current federal,state,end local law.The granting of a permit only authorizes approved work and no deviations(herefrvtn.Deviations must first de authorized In writing from the <br /> Building Official Defers being eulborlzed undereny circumstance,I em the owner,ort em authorized by the owner of this properly fo perform the work for which application la made, <br /> and I comply with the State Contractors Law 18.27RCWand 2862a0A WA°. <br /> / I PERMI �F' I City of avereft Official Use Only <br /> FA' 1 ,.11 iiv} 3 -1-- 4 g 4 020 <br /> own' •uthor zo Ag Signature Date (FevTse 9/2 12018) - <br /> 1 <br /> • <br />