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02/20/2017 MON 14: 05 FAX Fast Water Heater 0043/005 <br /> ERMIT APPLICATIC L.O.a&_____L <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St,, Everett, WA 98201 425-257-8810 FAX 425-257-8857 www,everettwa.org <br /> SITE ADDRESS: PRO ER TAX <br /> . <br /> '-1 •1.. ii • :� 0 - . Oh /;,:f 0106- OA7 * 02 —OSS <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER b ) I • ., ..4' ° / r II Phone/E-mail ~� <br /> Address I ► Y <br /> j/. City/State/Zip rA /111 I 4 ' ° 6?-63 <br /> APPLICANT:_Owner Owner's Agent ^ Contractor Contractor's Agent Tenant(meetprovlde a letter of consent From the owner to do work In the apace) <br /> CONTRACTOR '� it• q Q� ` <br /> � � n',. ��'1" ..,�.. State Lie,# g 1.3...c.afy Bus.Lie. •'.� <br /> Address H 'i'F-iIUug <br /> �^ ► . '' �„I <br /> S '*(�' �t1. Phone/Emali /wig ri 1 FS ` ' <br /> E BUSINE NA CONTACT FOR PERMIT 17r '•o". <br /> I.ia <br /> phone/E-mall • AT ' . ii r -.J +— <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OP WORK <br /> Existing Use of Building HE^ = E: �—i <br /> Proposed Use • 'Orli �^ _ <br /> Oaa = ■� Other <br /> Building type..e.©C -- �. <br /> Singfe Famtl Duplex Townh• Multi-Family ' Commercial <br /> T •e of .ro act: New Addition Remodel a <br /> ••= T.I. Sten S•rfnkfer Demolition • Chan of Use <br /> DESCRIPTION OF WORK(additions abase provided on the beck): <br /> PAciArre—Aff:e,Pka CA-- .ei C.-OIL', (A)OLI-ex" IPLAAA-e4--- <br /> MECHANICAL PERMIT APPLICATIO PLUMBING PERMIT APPLICATION <br /> Type of Protect: _New_Athan _Alteration_Repair Type of ProJactt New <br /> Show Number of fixtures —Addrt _Alteration�Repair <br /> NC -air handtlnr. units _ShowNumber(#1 of fixtures <br /> A •rced air systems ---•-- „Toilet <br /> G:: don. <br /> Bathtub . <br /> Lavato wash bpsln �"� <br /> Shower "'"-" <br /> Kitchen sink& IS Mal Dishwasher <br /> Clothes.ryer Clothes washer <br /> mmillialliMMIZEEMRan•e h orf Water heater <br /> Exhaust ' <br /> Heat•um► Blnk service/bar/mo lett, <br /> min <br /> IIIIIIIII Backflow .reventer(Imide bldg) ---_�.� <br /> __ -Uri <br /> Boller Ai �Urinal <br /> - Drinkln FountainRadR !-ration Floor drain <br /> ,111111 Wo•:stove -- <br /> - MIIIIIIIIIIIMIIIIIIIIIIII Rod drain• <br /> Rvr�f drains <br /> ' �P ' INKLF� I SUPPRES: ION SYSTEM Medical Gas <br /> �/ Other: <br /> Number of Heade <br /> Other: <br /> I hereby certify That I he'e read and examined this applloati n and know the same to be true and correct.All proviehme of lamp and ordination governing 11110 type of work Will be camp <br /> with whether emitted herein or not The granting of a permit does not presume to give authority to violate or cancel the provlaton of arty other etafs or local law regulating construction <br /> Thet I am authrized by the owner of this property to perform Che Work for Whbh application,lei made and I comply with the Stals Contractors Law 10.27 1,40/end 296.200A WAC. <br /> 61) <br /> A_., ec .a-o . - <br /> Owner/Autho ed Agent Signature Date <br /> (Pev/sed 4/2098) <br />