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2015-08-25 17:29:31 (G MT) <br />• <br />w <br />18884000383 From: Deborah Shields <br />F��� [T ��'Pi.��ATi�h� <br />�UI�.�IhIGfI�EChIA�IiG��.l�'�.iJ �I�IGI��GNI�PR�i�IKLl�R/D�I���.ITI�t� <br />C1TY �F EVERETT PERNtIT S�RViCES <br />320� Cedar St., Evere#t, WA 98201 425-257-881 D�AX 425-257-8857 wv�nn�.evereitwa.o�g <br />A°°R�s5:11921 SILVER LAKE DR �pROP�RTYTAX�OOrJ74900000200� ��RMR# <br />� far ne�:�cc�i��tructiorr. �hort PlaVhukrdivi�ion i..u: No. ;att�ch c;opy of lan� I�r�al deacrFition� <br />RKRISTEN M THORSTENSON ��;cnE��_m3i�206-310-6450 <br />,11921 SILVER LAKE DR crt.y;st3�e�z�r,EVERETT, V1IA 98203 <br />PL��ANT: _ O�M1Bf _ O'.N'���f'S f�gent ___ Contra�Nr ��Cotilf2CtU�5 f\q@fti __ Tell�flli imust provido � Wtly� of cor,sentfram Liie avmertu dov�mrk in the �pace <br />NTRACTORWESCO �.3t� �;�. # WASHIES971 OB c�ty Qus. ���. #41349 <br />,���53909 196th St SW �,,�,�,�,�n,�;,800-398-4663 <br />NANT F3USINESS NAME CONTRGT FOR PERMiT <br />�U1l.DING PERMiT APPl..1l�EkTi�N <br />Existing lJse c�� Building Res <br />Prc�posed Use ^v �, ildina <br />�3uilding type: �inglP Family [�upie>� o�n,�ihouse <br />T e of ra ect_ t�evr Addition Remadel Re an' <br />DESCRfPTION-C1�YUQRK (sdditional space provided on the back) : <br />flEPLACE GAS WATER HEATER � <br />�---_ _- -- _ - _ <br />�� <br />MECHANlCIa►L PERMIT APPLICATtt?P� <br />Type of Prnject: ,New �Addn LN plteration _Fiepair <br />Show Ntrnrber (#) of lixtures <br />� A/C — air ha��diiny units <br />Fnrced air systEms <br />Ges pipinq <br />1 <br />VV9fEl" h83TBf <br />Gas fi�eplace <br />Gas ranye <br />Goihes dry�r <br />Range hood <br />Exha�stfan <br />Heat �um� <br />Unii heater <br />Boi[er' <br />r�erri eration <br />VVoodsiove <br />Dueting <br />Oth e� � <br />SPRINK�ER / SUPPRESSION SYSTEM <br />t <br />! Nurtaber af Heads <br />JCNNIPCR COVCLLO 2J�774-8193 JENNIFGR[kNWPERh11T.COP.1 <br />P!�one/E-inai! <br />G�N7RAGT PRIGE t3F WORK 95�•4Q <br />Fi�AT aOURCE: <br />11 I Electric CGt�zer <br />r-cial <br />nkler Demolition CF�anqe af Lise <br />PLUMBING PEFtMIT APPLI��4TiON <br />pe �f Prnject: �New �Adc1r��41teration _Rep�tir <br />Show Nurnber (#J of fixt�res <br />Toilet <br />i Bathcub <br />? Lavatory (wash basin) <br />� S�'lOWEI' <br />; Kitchen sink & di�osal <br />Dishwashzr <br />Clo:hes washer <br />� NJater heater <br />i 5ii7k (servicelbar/mopletcJ <br />U rinal <br />Urinking FouE��tain <br />F'[oor ora'in <br />Grease tra�� <br />RooF drains <br />Medical Gas <br />Uther: <br />Other: <br />I t�ers�y certify that I have read �nd exarnioed this applicatior; ar;d know the sams to ba trua and correct. Ali provisfons o` I�v:s and nrdinances govem�ng this type cf work will be comp <br />�.vi!n whether spac�fied F�arem or not. l��i�e ,yranting o! a pe�mit dor_s not presunie In ��ve a�.rth.ur!ty to ���inlata ai� caP�cel t`'�e pi'owsion of any cither state or local law rec�s.�iatinp constru:tian <br />Tl�iat t am au�hori�e�.i by the c�ti'ner of tY�is proparty to peiturm the v;ak f��r which appl�cation i� inade dnd i cumply wRh the State Cuntrac.ors Lav: 1°,2? RCVV and '256.20DA W.4C. <br />Jennifer Covello -� - _..,,. �;z;,,� <br />Owner/Authori2ed Ageni Si�nature Uate <br />(Revrsed 9,'2014) <br />