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02/12/2018 MON 13: 17 FAX Fee Water Heater 21002/002 <br /> Fps'? ?.---o <br /> PERMIT APPLICATION <br /> '`W BUILDING I MECHANICAL/PLUMBING/SIGN/SPRINKLER I DEMOLITION <br /> /004 ._.A <br /> CITY OF EVERETT PERMIT SERVICES <br /> a - 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)428.257-6810 I FAX 425-257-8887 j(E)everetteps(r evetetlwa.8ov I www.everettwa.gov/permits <br /> (Blue or Black Ink Ord Please PROJECT SITE INFORMATION <br /> . <br /> PROJECT SITE ADDRESS: t o 3 1 .t INFPROPERTY TAX#:Oa-1110F , , f, DO I OO . <br /> LEGAL for now construction: Short Plat/aubdlvielon Lot No_ (attach copy of long legal desorlpllon) <br /> CONTACT INFORMATION <br /> OWNER NAME: V 2 Ps— ilV u NAZ TENANT/NiAME(If Commercial): <br /> OWNS m <br /> ER MAILING ADDRESS: oa T ,' L (J�ilG f► ve— <br /> Cm' / <br /> A .4li STATE 1 AJ LSZIP 9/� 1 <br /> go/ <br /> OWNER PHONE: 95 , 911p OWNER EMAIL: F--�+I'-� V <br /> CONTRACTOR NAME: fiA ST vi Ai G e 0'E.—AT'Fi CONTRACTOR ADDRESS: STREET - 1 I/ V1 S ' 1.._t_.- <br /> ir ►, 0, �y S : Ci D(p �,(} <br /> cnY 1 . @TAia Uj, YIP U D I1 1 I <br /> CONTRACTOR PHONE: v0 S 1 /. • CONTRACTOR EMAIL: IP em ITS f Of-U411,4 {/l/'kW, 1 <br /> CONTRACTOR LICENSE#(REQUIRED): A S't` C'or ; pj(., CITY OF EVERETT eU$TNES LICENSE CRequjRED) I 153 <br /> PRIMARY CONTACT: D OWNER !m CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: 'CONTACT PHONE: / ' , gp <br /> C ''I' \-t-1 ,-. CONTACT EMAIL: P ' . vita a , j 1 r I }P.Y. C/OVV) <br /> BUILDING PERMIT APPLICATION <br /> l•-•• <br /> 14. Existlr Use of BultdIng: ��e Contract PrIce of Work:_$ TM7•'• <br /> Proposed Use of Building: S?- Heat Source; , Oae ©Electric DOther ___--.___ _ <br /> Building Type: R-Detached (OFR-Attached ❑Dupiex t Mulfl-Family-#of Units: ❑Commercial ©Industrial <br /> TYea of Project: ONew IAdditlon DPemodel XRepair LIT I.• OSIgn OSprinklar C(Demolltlon OChange of Use <br /> DESCRIPTION OF WORK: <br /> vin bve,, t/ rreQ\A e. C/01—S LA)a-- -e)Y 1n C a,- <br /> ASSOCIATED BUILDING PERMIT#(If applloable): <br /> MECHANICAL PERMIT APPLIlCATION PLUMBING PERMIT APPLICATION <br /> 'Type of Project: _Naw r„- Addn Iteration _ Repelr Type of Project: New ,.._Addn _Alteration -apair <br /> Fixtures` List'of Fixtures Flxtdree List of Fixtures Fixtures LIs Futures Lis .f 17xtures <br /> A/C—Air Handling Unite Heat Pump Toll= Backflow r Lventer Inside Bldg <br /> Farted Air Systems Un1t Heater 13- tub Urinal <br /> ` Apojik Gas Piping Boiler :vatory(Wash Basin) Drin. g Fountain <br /> 110) Water Heater Refrigeration .hewer P ,or Drain <br /> Gas Fireplace _ Wood Stove Kitchen Sink&Diepoesl rease Trap <br /> Gas Range Ducting Dishwasheroaf Drains <br /> Clothes t7 rN <br /> eooku a Other i Clothes Washer. .decal Gas <br /> Range Wood s Water Heater Oth- : <br /> Exhaust Fan - -ink Service/BadMo• c. Other: <br /> SPRIN E 4UP SSIOwSYSTt lM <br /> ` mica:or Vyiatec�--f'-------NQ,of Heads <br /> ACKNOWLWOEM✓NT.:I have reviewed(his epp/caflon and confirm the Infixmel/on contained herein Is true awl cease/.Work done pursuant to this permit mustdamply with <br /> mimed federal,state,and local law.The granting of a permit only authorises approved work and no deviation therefrom.Deviation must f rst be eWhortzed In Writing from the <br /> Building Official before being authorized under any circumstance.I am the owner,or!am authorized by the owner of this property to perform the work for which application la made, <br /> end/comply with the State Contractors Law 10.27 ROW and 296.200A WAG. <br /> I f� Oily of Everett Official Use Only <br /> 10 I <br /> raAj j .1 lt"---4---.4. I <br /> or ' C(/ �I $ PER�Y# �z C 2 1 <br /> Own' •,....z.,.-Ag:nit Signature Date (Revls ci 3/20 <br />