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O1/03/2013 13:^<3 4257891313 SCION REALTV GROUP P4GE 02/03 <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 - nz5•257-8810—FAX 425-257-8857—www,.:verettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO d Ph1 <br /> SITEADDRE55: � � PROPERTVTq%a p �IT <br /> � -�O <br /> LEGAL lor nux<onstmn�on. Snan Pi�U,uOd�v:s�on_ Let Nc (atlacn copy o11on31e9a1 descup'�on) <br /> OWNER PnonNGma.l �p�-rj'g,�-��q� <br /> tiaa«ss (� y c�cr�s��ic�z�o �UQy� i,l� � r�C7� <br /> CONTRACTOR Danika plumbir,y 6 Contr�cling L 8 I Lm t, DANIKPC91FiL0 <br /> Atltlress �614)3�U Ot NE,hiarysv,lle,LVA 99270 Peone!emal ��25-335�35151 info(u,�dan�:.aco.ecm <br /> TENANT BUSINE55 NAME CONTACT FOR PERMIT <br /> PnonNE�ma.� a2:�33$�35151 ir'.�daninaco com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK ssao <br /> [xisting Use ol8uilding H[AT SCURCG: <br /> Proposetl Use of Bui:ding ___ _ Gas__ Elacir�c omer <br /> Builtling rypa �S�r.gle Fom�ty _Duptea_Townhouse _1.lulti-Family _Commercial <br /> Type ol prqecC _New _Adtlition _Remodel x Ropair_T.I._Sign_Spr�nkler_Demolition CCange of Usu <br /> DCGcfipliDn Of NlOrk(aCEitmnu/spacn piovl�etl otl fpo CncFJ- <br /> Swap out wa;ci hea(¢r lor similal. � Qln�;n <br /> G � �" <br /> Havo you staRed warking wilhoul a pormil7 x VES NO <br /> MECHANICAL PERMIT APpLICATIUN � PLUMBING PERMIT APPLICATION <br /> TyDeolPwjecl: _New_Addn Alleralion x Repa{� TypoolProject: Now Adtln _Alleratmn Rapair <br /> ShowNumEtr(p o/rx(ures Show.Yumbet(# o/firfures <br /> I NC-ai�handlingunits � Toiiet <br /> Forcotl air syslems Baihtu� <br /> Gas O�P�ng LaYtllOry(l:e5h bB.iq) <br /> 1 l'Jater healor Shorir,r <br /> Gas GrCp1,:CC Kilchen sini R disposal <br /> Gas�anae <br /> Clulhc5 dryr,r Drsnwachci <br /> Clo;hes wos�cr <br /> (ionge haod __ �?�;�;er neater <br /> Enhausl(an Sin4(servicelbadmoo/etc) <br /> I He�tl pump I Fackllow prCVONcr <br /> Unii hoalor I Urindi <br /> PuJef DrinFmq founl:.in <br /> Fiuttigemuon <br /> i Floor tlrain <br /> Wuodstove Grease trap <br /> Uuthnq i Rool tlrains <br /> Olher A1etl�cal Gas <br /> SPRINKLER/ SUPPRESSION SYSTEM otr,cr <br /> Numbar o(Hcaas � Oiher. <br /> I here�y corti!y thnl I na�n•ea��nd eAarninotl�n:s appbG�lion an0 kno�v t�o sdme;e GC Irue and colreci.NI provision5 0l�arv5 antl or0inante5 Oovem��a� <br /> Inls type ol horA wUi he wmplietl�.ith v.ne!her speoGed herein cr no!.T�e grar.ling ol a 0��:�aocs no;presume!n g��e aWnon�y to v�otain or canrnl <br /> ine provision ol any o!her stale or Ixal l��r regulabnp con5t�u[Lon o:Ihe pedor2ance o�con;�wcYon.TF�!1 am m�ho.rM Ey tne o..�m�ol inrs pour.ry <br /> !o pertorm Ine work lor w�ith appl;c.t�on is maAo antl 1 comply vnln tho Slalo Contraclou Lnv:IB:7 RC�V ani 29p 20�:Yl�C <br /> —�� Y,}� Or/o3�� <br /> Ownor/Authauzed Agan Signatura p�,� <br /> /Fn�sea L20�p <br />