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To: E Page 1 of 3 2015-06-25 05:45:05(GMT) 18884000383 From: Deborah Shields <br /> PERMIT APPLICATION <br /> BUILDING/MECHANIC.AL/PLU BING/SIGN/SPRINKLER/D OLITIONV <br /> CITY OF EVERETT PERMIT SERVICES 6 D5:- /6 <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> SITE AaDRESS:2429 BAKER AVE ]PROPERTAX#00437854301500 PERNf_IT,#15b — <br /> 00 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. attach copy of long legal description) <br /> OWNER CHARLOTTE R BRACKETT phane/E-mail425-493-4115 <br /> Address2429 BAKER AVEcity/stateizipEVERETT, WA 98201 <br /> _// <br /> APPLICANT: Owner _Owner's Agent ,Contractor Y Contractor's Agent Tenant(must provide a letter of consent horn toe cwnet to do work in the space) <br /> CONTRACTOR WESCO State Lic.#WASHI ES971 OB City Bus. Lic.#41349 <br /> Address 3909 196th St SW pi•,one/Email800-398-4663 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> JENNIFER 360-219-5103 TENANT JENNIFER COVELLozoea74-9499 JENNIFERir5NWPERMIT.COM <br /> .Phone/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 950.00 <br /> Existing Use of Building Res HEAT/ SOURCE: <br /> Proposed Use ilding Gas V Electric Other, <br /> Building type: L jingle Family Duplex Townhouse[ ,M,rlf1-Family commercial <br /> Type of project: New ,®Addition Remodel Repair ✓Fr.l. Sign_Sprinkler Demolition�Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the beck): <br /> REPLACE GAS FWATER HEATER <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _NewAddn Iteration Repair Type of Project: New Addn14lteration ,Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> A/C—air handling units Toilet <br /> I Forced air systems Bathtub <br /> I Gas piping j Lavatory(wash basin) <br /> 1 IWater 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 I Sink(service/bar/mop/etc.) <br /> Heatj,ump j Backflow preventer <br /> Unit heater i Urinal <br /> Boiler . .. <br /> Drinking Fountain <br /> Refrigeration . Floor drain <br /> Woodstove Grease tra <br /> Other1 Ducting Roof drams <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> t 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 wdl 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 kw 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 I B.27 RCW and 296.200A WAC. <br /> Jennifer Covello �°'y=m'�" Z,� .e,-,�...,,..,.. ,. •, .<.�, <br /> ew.xrrcwa.,n�ina.n.^� 6124i15 <br /> Owner/Authorized Agent Signature Date <br /> (Revised 9,'2014) <br />