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To: E Page 1 of 3 2015-03-11 18:44:18 (GMT) '18884000383 From: Deborah Shields <br />� s <br />PE���TAP�L�CaT�aN <br />BUILDINGIMECHANICAL/PLUMBING/SiGNiSPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 �nnniw.everettwa.org <br />aooaess:5110 S 3RD AVE <br />PROPERTY TA5( # O � O9%70OOOOZOO � PER <br />LEGAL for new constructfon: Short Platlsubdivision Lot No. (attach copV of long ledal descriptioh) <br />owrvE�zJACK ALBERT Pn„nE,�-m3�,360-403-0525 <br />,a�dre�55110 S 3RD AVE c�tytst�terz��EVERETT, WA 98201 <br />APPLICANT: _ d4�ner _ Owr�e;'s Agent _ Con;ractor � Cen;rac,or's A�ent _ Tenani ���,�.,c P�o�-�d� a i�na- af cmisent fi�m Ihe evnier :o do �wrk in the spacej <br />CONTFtACTORWESCO state �ic. # WASHIES971 OB c;ty Bus. uc. #41349 <br />,add; e�s 3909 196th St SW ���one�Ern�i� 800-398-4663 <br />;1 uck � I b�;� <br />BUILD�ING PERMIT APPLICATIt3N <br />Existing Use of Building Res <br />Proposed Use f R� ildinp <br />Building type: �ingle Family Duplex ownhouse <br />T e of ro ect: Nsw Addition Remodel Re air <br />DESCRIPTION QF WORK (additrona! space provrded on fhe back): <br />Replace gas water heater <br />MECHANICAL PERMIT APPLICATION <br />fype of ProJect: _New _Addn I r Aiteration _Repair <br />5iiow 1�Iumber # of flxiures <br />A/C — air handlin units <br />Forced air s stems <br />Gas piping <br />� 'Nater heater <br />Gas fireplace <br />Gas ranqe <br />Rangahood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />U��oodstove <br />Ductina <br />SPRINKLER ! SUPPRESSION SYSTEM <br />Number af Heads <br />JENNIFER COVELL0206-774-9459JENNIFERCNWPERti11TLOM <br />F=honeit-maii <br />CONTRACT PRICE OF WORK �50.00 <br />�7ther <br />Family � ommerciai <br />.I. Siqn Sprinkler Demolition Chanqe of Use <br />PLUMBING PERMIT APPLICATIUN <br />of Project: _New_Addr��alteration_Repair <br />Show Number (#) of fixtures <br />Toilet <br />Bathtub <br />Lavatory (wash basin` <br />Shower <br />Kitchen sink R disposal <br />Dishwasher <br />Clothes washer <br />b'Vater heater <br />Sink service!6ar/mo letc. <br />Backflow preventer <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Medicai uas <br />Other: <br />Other. <br />I hereby certi(y that I have read and exainined this applics[ion and know the same to be true ar�d correcl. AU p�ovisions oF laws and ordinances poveming lhis type o!work will be co!np <br />wi[h �vhc,her specitied hereir or not, Tne grar.tiny of a permit does not presume �o give au.herty to Violate er cer,cel'.he provision of any ether s!ate or local law regulating cor�struction <br />That I am au[hor¢ed hy lhe oH:r.er of [his propery W per(erm the H�ork fer which application is mzde and I comply with ths Sta[a Contractors Lav; 1 Q.27 RC�,N and 296.200A WAC. <br />Jennifer Covello •• �•�-� .�•-•�n anv�s <br />Owner/Authorized Agent Signature Date <br />(Revised 9/2014) <br />