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To: E Page 5 of 7 2015-02-12 19:18:54(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# P T# <br /> 5024 ALTA D R 00377500002500 "r40 2.—620 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER GINA JOHSON Phone/E-mail 425-783-0590 <br /> Address5O24 ALTA DR City/State/21pEVERETT, WA 98203 <br /> APPLICANT:_Owner _Owner's Agent _Contractor[Contractor's Agent Tenant(must provide a letter of consent from the owser do rk in the space) <br /> CONTRACTOR WESCO State Lic.#WASHIES971 OB City Bus. Lic.#41349 <br /> Address 3909 196th St SW Phone/Email 800-398-4663 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> JENNIFER COVELLO 206-774.9499JENNIFER@NWPERMIT.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 Use of R�lildinq Gas ✓ Electric Other_ <br /> Building type: ,Jingle Family__IDuplex_ownhouse M I' Family ILommercial <br /> Type of project: New Addition Remodel Repair� E'.l. Sign_Sprinkler Demolition Change of Use <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 ✓llteratlon_Repair Type of Project: _New_Addn ✓Alteration_Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> NC—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 pump Backflow preventer <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 I 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 wa 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 226.200A WAC. <br /> Jennifer Covello ;,'";M �. �•�.�b�ryd..� =� 2/12/15 <br /> Owner/Authorized Agent Signature Date (Revised 9/2014) <br />