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To: E Page 1 of 3 2015-03-20 16:14:15(GMT) 18884000383 From: Deborah Shields <br /> PERMIT APPLICATION 3 <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# <br /> GSLEG2429 BAKER AVE 00437854301500 frAtio3 _ 0G5-- <br /> LEGAL <br /> AL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER CHARLOTTE BRACKETT Phone/E-mail425-339-9451 <br /> Address 2429 BAKER AVE City/State/zipEVERETT, WA 98203 <br /> APPLICANT: Owner Owner's Agent _Contractor CContractor'sAgent Tenant(must proWde a letter of consent from the owner To do work hi 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 206-774-9499 JENNIFERGNWPERMIT.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^f ildina Gas ✓ Electric Other, <br /> Buildingtype: jingle Family LjDuplex_ownhouse_Mufti-Family commercial <br /> Type of project: New Addition Remodel Repair 1 LTA. Sir Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> REPLACE GAS WATER HEATER ***RENEWAL:M0808-043*** <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn /kiteratlon 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 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 1 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 /> JwriMCx.4 <br /> Jennifer Covello •�.-,.,,,,.�,x�,,,..,.,, ..�.n,..,..�.....��.�,..,�...K� 3/20i16 <br /> Owner/Authorized Agent Signature Date (Revised 9/2014) <br />