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To: E Page 4 of 7 2015-06-05 19:08:51 (GMT) 18884000383 From: Deborah Shields <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: PROPERTY TAX PERMIT art <br /> 2201 VIRGINIA AVE 00401547100100 //U.W(0,0W <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER JOHN ALLEN CHAMBERS Phone/E-mail 206-379-6169 <br /> Address2201 VIRGINIA AVE City/state/zipEVERETT, WA 98201 <br /> APPLICANT:_Owner Owners Agent _Contractor uContractors Agent —Tenant(must provide a letter of consent from the owner to do work hi the space) <br /> CONTRACTOR WESCO State Lic.#WAS HIES971 OB City Bus. Lic.#41349 <br /> Address3909 196th St SW Phone/EmaiI800-398-4663 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> JENNIFER COVELLO 206-774-9499 JEMIIFERJNWPERMIT.COM <br /> Phone/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 750.00 <br /> Existing Use of Building Res HEAT SOURCE: <br /> Proposed Useildin Gas Electric Other <br /> Building type: Tingle Family Duple }"ownhouse / Family Commercial + <br /> Type of project: _New Addition Remodel Repair b .1. Sign Sprinkler Demolition of Use <br /> — 9 <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> REPLACE GAS WATER HEATER <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New Addn f 7 Iteration Repair Type of Project _New Addn Iteration Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> A/C—air handling units 1 Toilet <br /> Forced air systems I Bathtub <br /> Gas piping i Lavatory(wash basin) <br /> I Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink(servicetbar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit heater I Urinal <br /> Boiler <br /> I Drinking Fountain <br /> Refrigeration I Floor drain <br /> Woodstove ( Grease trap <br /> 1 Ducting I Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads 1 Other: <br /> I hereby certify that I have read and examined this application and know the same to be true and correct.All provisions of laws and ordinances governing this type of work be comp <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 any other state or local raw 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 1 B.27 RCW and 296.200A WAC. <br /> a-� <br /> Jennifer Covello w,„,,,,,,,,»,,,,,» <br /> Owner/Authorized Agent Signature Date <br /> (Revised 9/2014) <br />