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IP <br /> - ERrvirr P LIGA-H I <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: 10204 27th Dr SE PROPERTY TAX rt 00762300002700 P MIT <br /> I10 -020- <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER Theresa Gabelein Phone/E-mai1425-328-5626 <br /> Aodress 10204 27th Dr SE City/State/Zip Everett Wa 98208 <br /> APPLICANT: Owner Owner's Agent Contractor I ontractor's Agent Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR The Home Depot At Home Services State Lic.# HOMED**972RQ city Bus. Lic.# 042478 <br /> /,,,,,„,,3600 Lind Ave Sw Ste 150 Renton Wa 98057 Phone/Email 800-381-5699 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Nelda Khan 360-945-2787 naida@nwpermi.com <br /> i'honc/E-mail <br /> BUILDING PERMIT APPLICATION I-CONTRACT PRICE OF WORK 10,993.46 <br /> Existing Use of Building SFR HEAT SOURCE: <br /> Proposed Use of_&ilding SFR Gas_ Elcclric Other <br /> Building type: I tingle Family _DLJ210_Tow ^"se _Multi-Family _Commercial <br /> Type of project: . New _Addition Remodel Repair_T.I._Sign Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK (additional space provided on the back): <br /> Replace 20 squares of composite 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 piping Lavatory (wash basin) <br /> 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 (service/bar/mop/etc.) <br /> Heat eumy Backflow preventer(inside bldg) <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove ' Grease trap <br /> Ducting Roof drains <br /> 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.All provisions of laws and ordinances governing this type of work will 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 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 18.27 RCW and 296.200A WAC. <br /> Kathleen Genge ......9—D,--..... <br /> ..... -�- <br /> Owner/Authorized Agent Signature Date (Revised 4/2015) <br />