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To: Permit Department Page 2 of 3 2018-03-14 05:12:50(GMT) 18884000383 From: Northwest Permit Inc. <br /> PERMIT APPLICATION <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:2 - 59th PI SW PROPERTY TAX#00816400003900 PrII )-On <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER Verlita Tiu Phone/E-mail(425) 338-5649 <br /> Address2 - 59th PI SW City/state/zip Everett WA 98203 <br /> APPLICANT: Owner Owner's Agent Contractor ✓ contractor's Agent _Tenant(must provide a letterotconsent from the owner to do work in The space) <br /> CONTRACTOR The Home Depot State Lic.# HOMED**088RH City Bus.LIG.# 5 `bb\ <br /> Address3600 Lind Ave SW #150, Renton 98057 Phone/Email 360-945-2787 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Naida Khan/Northwest Permit Inc. <br /> COn t 2(4 1 lel Phone/E-mail 360-945-2787 naida@nwpermit.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $8507.00 <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas_ Electric_ Other_ <br /> Building type: Single Family _Duplex_Townhouse []Multi-Family _Commercial <br /> Type of project: New —Addition Remodel I Repair T.I. Sign Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Remove and replace 18.3 squares comp. roofing. No plywood replacement. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New__Addn _Alteration_Repair Type of Project: __New__Addn Alteration Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> A/C–air handling units Toilet <br /> $ Forced air systems Bathtub <br /> Gas .i.in. Lavatory (wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer I Clothes washer <br /> Range hood Water heater _ <br /> I Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> ( Refrigeration I Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> I Other Medical Gas <br /> SPRINKLER/ SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I hereby certify that I have read and examined this application and know the same to be true and correct.Al provisions of laws and ordinances governing this type of work will be compl <br /> with whether specified herein or not.The granting of a permit does not presume to give authority to violate or cancel the provision of arty other state or local law regulating construction <br /> That I am authorized by the owner of this property to perform the work for which application is made and i comply with the State Contractors Law 1827 RCW and 296.200A WAC. <br /> Digign <br /> Nada Khan Datitallye:201s8.03.13edby 22Naida:12:22Khan-07'00' <br /> Owner/Authorized Agent Signature Date <br /> (Revised 9/2014) <br />