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12/05/2017 TUE 13: 41 FAX Fast Water Heater U003/008 <br /> SD r+'(i101 <br /> PERMIT APPLICATION <br /> ���,��� BUILDING I MECHANICAL I PLUMBING I SIGN 1 SPRINKLER/DEMOLITION <br /> +1*'�' . • -�_ CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> • (P)425-257-8810 I FAX 425-257-8857 I(8)everetteps(OevaraUwa.gov I www.avereltwa.gov/permits • <br /> (( Nue or Ethics'(Ink Only Please) PROJECT SITE NFOIRMAT1OK i ', p • <br /> PROJECT SITE ADDRESS: A/ 5 RAIN) SL{L I g Y 5 PROPERTY TAX X: (Qj5 , ,)3s(/ IF <br /> LEGAL for new construction: Short Ptat/subdivlslon Lot Nom_,,, (attach copy of long legal demo-10100 il <br /> CONTACT INFORMATION <br /> OVVNER NAME: 44,44 I/ art)f- TENANT NAME(If . <br /> OWNER MAILINGADDRESS: <br /> • <br /> mw f i0e / .vvV44—STATE 2IP <br /> OWNER PHONE: J 16 2 ���•• () 666 jOWNER EMAIL: . "� <br /> _ ____________________ <br /> 2.,..)„,A,..,2 1 v•-VC , -rg <br /> CONTRACTOR ADDRESS: e37RooT 1 v i- 15 N Q P P u S G ' Q(p - <br /> CITE VD•01\ 1- 1, s,pTe , zip °I t.0.\! .. <br /> CONTRACTOR PHONE: Li')5 L'3J \ i ______ <br /> CONTRACTOR EMAIL:PV 1Z,W111'S EQ-ktS .11)O r O r, 1A1/1/I <br /> CONTRACTOR LICENSE#(REQUIREb):f`r \(71 9$ISL (CITY OF EVERETT 9USINESS LICENSE tl(REOUIRED)50 4533 <br /> PRIMARY CONTACT: 0 OWNER 17. CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: VL CONTACT PHONE: LI cp c5 , / gp jb . <br /> 1 ''' '\"i Ue CONTACT EMAIL: Arida I'"rS r _ 1AX/t- it till , Cj15\41 <br /> BUILDING PERMIT APPLICATION <br /> 14 Exlsting Use of Building: , Contiact Price of Work:$ LIF5 _ _ — <br /> 9� Proposed Use of ButldIri 'S IR- r <br /> Heat Source: L as DElectric IJOilter _, <br /> Building Type: f FR-Detached ©SFR Attached ©Duplex IMMuitt-Family-#of Units: ©Cornmercial• CI Industrial' <br /> Type of Project: ElNeww DAdditlon DRemedel I Repair CTA.• DSiyn ❑Sprinkler DDemolltion DChange of Use <br /> DESCRIPTION•OF WORK: <br /> jinno\/. lreJp ice Go--3 waA-e V\ c ate,r- <br /> ASSOCIATED BUILDING PERMIT#(If applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT,APPLICATION — --- -.. <br /> Type of Project; New Adds „_,aAltaratfoa �Repair Type of Project: New _Addn _Alteration _Repair • <br /> #of fiat`of Flxturea #of List of Fixtures #of iXturea #u List of F <br /> Fixtures _ Wxtures fixtures F!>rt <br /> NG-Air Handling Units Heat Pump Toil. Backflow Preve. ''.r Inside Bid. <br /> Folmar'Air Syaterns Unit Heater Sat tub Urinal <br /> • ..._0,Gas Piping Boller _ La 'to Wash Basin DrInkin+ •+untvin <br /> Water Heater Refrreretion. - Sho sr Floo . sin <br /> _Gas Fireplace Wood Stove Kite an Sink&Disposal r :ass Trap <br /> Gas Range Ducting Dls usher .ofl7ralne <br /> Clothes Dryer Hookups _ • Other: -s Washer Gas <br /> Range Hood • <br /> _ Watts eater Other: <br /> Exhaust Fan SInIc(S=•• ce/Bar/Mpp/dc.) Other: <br /> SPRINJL.tl /-S In$SI9AtFS'TIMVl " — <br /> 021.(2±31-,14/./7.6; �--ptp-of Heads <br /> •ACKNOWLEGGEMt NT:l have reviewed this application and confirm the lnlbrmallon conteined herein is true and correct.Work done pursuant to this permit moat comply with <br /> current federal,state,end local law.The granting of a permit one'authorizes approved work end no deviations therefrom.Deviations moat first be authorized M writing from the <br /> Building Official before being authorized under any circumstance.1 em the owner;or!ten authorized by the owner of(his properly to perform the work for which application fa made, <br /> earl!complyWM the Slates Confreotoe Law 18.27 RCW and 286.200A WAC. <br /> City of Everett Official Use Only <br /> PA-I .' A .r��' g- --.5%—t --.. PvV1.#� 2 — <br /> Own' 'uthor e:Ag- Signature Date Rev se 01 <br />