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To: E Page 2 of 3 2016-05-18 18:26:12 (GMT) 18884000383 From: Deborah Shields <br /> 0 0 <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBIN G{SIGNISPRINKLERIDEMOLITION <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:560,1 Flemming St PROPERTY TAX#003932003013021 P I # <br /> LEGAL for new construction: Short Plat/subdivision __Lot No. (attach copy of long legal description) <br /> OWNER Erwin Guerrero Phone/E-mail425-298-3703 <br /> Address5601 Flemming St City/State/zip Everett WA 98206 <br /> APPLICANT: _Owner _Owner's Agent __Contractor ✓ ontractor's Agent —Tenant(must provide aletter of consent from the owner to do work mthe space) <br /> CONTRACTORThe Home Depot At Home Services state Lic. # HOMED**972RO City Bus. Lic.#1 r <br /> Address3600 Lind Ave SW #150, Renton 98057 Phone/Emai1800-381-5699 <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 9112.12 <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas_ Electric_ Other_ <br /> Building type: 7Single Family _ Duplex_Townhouse ❑Multi-Family _Commercial <br /> Type ofproject: New Addition Remodel V Re air T.I. Sin Sprinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Remove and replace 17 squares of comp and 11 sheets of plywood. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn _Alteration_Repair Type of Project: _New_Adds _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 /> i Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink (service/bar/mop/etc.) <br /> Heat pumpBackflow preventer <br /> Unit heater j Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove I Grease trap <br /> i Ducting Roof drains <br /> Other Medical Gas <br /> i <br /> SPRINKLER / SUPPRESSION SYSTEM <br /> Other: <br /> s + <br /> Number of Heads f 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 1 arra tl�iap7er1 bvyth. r of this pro et, 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 /> +� 1'etgD Oi cl y g�:d by Jemiter c-o:lo <br /> � TQ `�Nl}� UN'c�aJ8M1r0r Covell]o ou. <br /> +++� '�'^�, ' barna I�ienn terrlDrnvpermd wm,c�115 <br /> Date:201605.16 11:25:21-07'00' <br /> Owner/Authorized Agent Signature Date (Revised 912014) <br />