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To: E Page 5 of 7 2015-08-25 17:29:31 (GMT) 18884000383 From: Deborah Shields <br />� � <br />P���l]IT �pPLl��Ti��l <br />�EJI��311�(�fl����i�.�iC�,�l�L�li�Bt�9�ISI�I�IS�'���iK�.�C�OL���CiLIT��C►t� <br />ClTY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, V�:�A 98201 425-257-8810 �AX 425-257-8857 www.everettv✓a.org <br />seT� A°°R�s5:11033 17TH PL W pR°P�R�ev �a�` # 00841600001100 °'�'�""'� # � <br />t"v� � ��� � � 1 <br />LEGAt_ for ne�a� coi�d(ructior��, Shon Platlaubdivls�on !.ot N�. (atta.h copy oi lari� I�gal descr��ptl�n� <br />ov�mER DAVE FISHER Pr;a„F,�_t113i,20�-240-6630 <br />��c�dress11033 17TH PL W ::st��sta:e�z;oEVERETT, WA 98203 <br />i�i��L��l���: _�YJt1�f _�'JJI1aY'S f�l(' Bfli _ COf1T(80IUi � C011tCdCTO!''9 �efti _ T811811t iinu�t provide u kT,:� v(consenl(�oin d�e oemet to dae,z,rkii; the:pacel <br />CONTRAG70R WESCO <br />o,c�rzG53909 196th St SW <br />s�3t� u�. # WASHI ES971 OB c�ty �us. u�. #41349 <br />�,,��,���,,,��i 800-398-4663 <br />�lQY1P��E-I�ll'd!� <br />�UI�.Dl�1G P�RMIT AP�'�.t+I;;AT10�N �Gc?NTRA <br />Existi�g Use of Buil�finy Res <br />PrUposed Use ^f �� iidirig <br />F3uilding type: �ingfe Family Oupie o�nmhouse �-Family <br />7" e of ro ect: tvevr Additian Fiemadel Re air � f.l. <br />DESCRIPTfON OF WQRK (additional space provided on the back) : <br />REPLACE GASFURNACE <br />11AECHANlCAL PERMiT A�PLlCi4TtOhV <br />iypr of Pruject: �New �Addn � Iteration �Ftepair <br />Show Number (#) of fixtures <br />-- ---�---11L�_ air handiing urtits <br />� Fnrr:e�i air systems � <br />Gas piping ��T� <br />Water heater <br />� Gasfi,eplace <br />� Gas rang� <br />— ---;--.•--•_ <br />Ciathes dryer <br />' Ranr�e hood <br />� Exha�st fan <br />Heat pum� <br />Unit heater <br />G'oi4er' <br />( Refrigeraiiort <br />�Woodstove <br />Qth er <br />SPRINKLER / SUPPR'E5s10P1 SYSTEM <br />F Number of Heads <br />JENNIFCR COVCLL02�6-774-3433 JCNNIFCR��;NYtiPCkP,11LCOPA <br />�R�ce o� w�R�c 2:a3s.sa <br />HEAT SOURCE: <br />vns � Electric Ottier�� <br />omme�-ciai <br />r5 __ Sprinkler Demolition CF�anpe af Use <br />Pi.UNi�E1�lt'a PEFtMIT Q�PL1��4Til)N <br />c�f Praject _New_Addr � iteratihn,iRepair <br />Show Nurnber f#) vf fixiures <br />Ba�thtub <br />Lavator� (�,vash basin) <br />Shower <br />Kiichen sink & disposal <br />Dishv�sher <br />Clo:hes washer <br />VVater heater <br />SiE�k (servicelbarimop/e <br />� CtfiB� <br />Urinklnq FouM��tain <br />Grea� <br />Raof drains <br />Medical Gas <br />Other: <br />! t-�ereby certif/ the�l I have read and exarnined this appiication ar.d Knnw Ihe sarns to @a i+ua and correct. AI! provisions o` L;v:s and ordinances rov�m��.ng this tyi�t of viork v�ill be r.omp <br />�.vitn vehether sp��r,�fied hereln or nat. Tne ,yr�ncing o' a pe�mit dars nae presumr, to yive a�.ithur,ry ta diolat� or cancel c!�e prnwsian of any other s,ate or Incal Inw rec3ulat:np coi�stru; tion <br />That ! am au�horize�.7 by [Y�e c+ti�ner of tY,is pruparty to peiform the vurk: inr ��ihicY� aFplicatioiY is inadn and I cumpiy w2h the Sta?e Cuntr,�ctors Lavr 18.2? RCbN and '256.20��A W.4��. <br />Jennifer Covello �• •� -e � -.. ��. s;z;,,s <br />OwnerlAuihorize� AgenY Signature Uate <br />(Revrsed 9,'2014) <br />