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To: E Page 3 of 5 2016-03-09 18:16:56 (GMT) 18884000383 From: Deborah Shields <br />• • <br />PERMIT AP"PLICAT101V <br />BUILDING/MECHANlCAL/PLUMBINGiSIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />32QQ Gedar St., Everett, WA 98201 425-257-8810 FAX 425-257-885� www.everettwa.org <br />SITE ADDRESS: PROPERTV 7AX q P I <br />5020 SEAVlEV1/ WY 00568000000100 ����;�j <br />LEGAL for new construction: Short PlaVsubdivision Lot No. (attach copy of long legal description) <br />owNEtzKAREN FALAV�RJANI <br />Acfdress5020 SEAVIEW WY <br />PPLICANT: _ Owner _ Owner's Agent _ Gcntractor I� Contr <br />L. <br />ONTRACTOR WaSllltlgt�il Eitefgy SVCS CO, �LC <br />9dress3909 196th St SW, Lynnwood, WA 98036 <br />ENANT BUSINESS NAME <br />BUILDING PERMIT QPPLICATION <br />Pho�e�E-mai� 425-791-2990 <br />cny�sca�e2��EVERETT, WA 982Q3 <br />CfOf'S Ag@f11 _ TBf1211f lmust provi7� a k.tler ol ca'aeii[ from th�• owi.�r lo �Jo wcrkin th. s{>ac5) <br />State �ic. t� �ASHIES851 N5 c�cy B��s. ���. tt 054773 <br />PhoneiEma�� SQO-398-4663 <br />CONTACT FOR PERMIT <br />Jennifer Caueliol jennifer �x nwpermit.com 206-77�-94�9 <br />Phone/E-inail <br />CONTRACT PRICE OF WORK 1�3r�1 8Q <br />Existing Use of Building HEAT <br />Praposed Use of Building Gas E! <br />Building type: �ingle Family Ouple� ownhouse '-Family Commercial <br />T eof roect: New Addition Remodel Re air Y T.I. Si n S rinkler Demoliti� <br />DESCRIPTION OF WORK (addi�iona� space prvvided an �he back} : <br />iNSTALL DAlKIN 32K MIN[SPLIT MULTIZONE HEAT PUMP <br />MECHANICAL PERMIT QPPLICATION <br />Type of Project <br />0 <br />�Repair <br />Show Num6er (#) of fixtures <br />i A/C — air handlin� <br />Forced air systen <br />Gas pipinq <br />Water heater <br />, Gas fireplace <br />c�as range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Ducting <br />� Other <br />3PRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />Other <br />Chanae of Use <br />PLUMBING PERMIT APPLICATION <br />of Project <br />Show Num6er (#J of fixtures <br />Bathtub <br />Lavatory (wash 6asin <br />Shower <br />Kitchen sink $ dispos <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar(mor <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />_Repair <br />I hereby cr.ibfy that I have read and axamined this application and know [he same to be trua and corree.K. All provisions of laws and ordinances goveming this type of wcrk will � comp <br />with whether ;pecifiaC herein or noL The granti�g of a parmlt does not presuma to giva aulhority to viola[e or cancel the proviaion of any other state or local law regulatiny construchon <br />That I aoy� �+ .qj yi h ti .x, �.- i c,f this. Rr��gvty �o pc�rf�r��t�aUWor�C for which application is mada and I comply with the Stete ConVadors Law 1827 RCW ar�d 296200A VJAC. <br />� {� � .Ji a DM .:n=Jn Fui Wvnl u o cw. <br />���` }. ke b tlK eiaall=�e� lleig'C,,iwperiu�can.c-U9 Q���912�'�� <br />.. - . Uair.291c.U:i,p�tO.tiA;� t,SU"u <br />Owner/Authorized Agent Signawre Date (Revised 9/2014) <br />