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To: Permit Services Page 4 of 6 2015-02-12 17:42:44(GMT) 18884000383 From: Deborah Shields <br /> 0 0 <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: 7777 <br /> TAX if P T <br /> 2131 Highland Ave 00453445400100 21_d <br /> LEGAL for new construction: Short Plat/subdivision ____Lot No. (attach copy of long legal description) <br /> OWNER Eliass Alfi Phone/E-mail(425) 773-9330 ealfi@comcast.net <br /> Address2131 Highland Ave lCity/State/Zip Everett WA 98201 <br /> APPLICANT:__Owner __Owner's Agent __Contractor ✓ ontractor'sAgent —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. # <br /> Address 140 County Line Rd #101, Pacific WA 98047 Phone/Email800-381-5699 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Naida Khan/Northwest Permit Inc. <br /> Phone/E-mail 360-945-2787 naida@nwpermit.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $27014.00 <br /> Existing Use of Building ____ ________— HEAT SOURCE: <br /> Proposed Use of Building___ ___ _____ GasElectric__ Other_ <br /> Building type: _ Single Family __ Duplex __Townhouse 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 /> Remove and replace 50 squares comp. 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 airs stems 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 /> OtherMedical 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 /> Owner/Authorized Agent Signature Date (Revised 9/2014) <br />