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To. E Page 6 of 7 2015.06.05 19 08.51 (GMT) 18884000383 From. Deborah Shields <br />• • <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 mwyw.evere� <br />SITE ADDRESS: <br />PINE ST <br />PROPERTY <br />PROPERTY TAX X 00439075301300 <br />P <br />M <br />0�I <br />lap <br />LEGAL lot neweonslwctlon Shon PlaUeubdNleion Lot No._ (allaeh copy or laity Iegal descripbcnj <br />OWNERWALID JOUDI <br />PhcnelE-mm1206-3624475 <br />Address3225 PINE ST coyistalerzipEVERETT, WA 98201 <br />PPPLICANT:_Omer Owner's Agent CalgraGor ♦ 71111"ctor's Agent _tenant vavt mv.tit,abtur ufaoe:enuromur.wmerrode rrvam macwr.r <br />CONTRACTORWESCO <br />Stale Lic.»WASHIES9710B City Bus. uo.u41349 <br />Add .... 3909 196th St SW <br />1"n011e:Erna,1800-398-4663 <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT <br />1LNvie CR COVULO 2JSRbM5A �Uoe LCRpw.wCRlan Coed <br />1rhoric/E-mail <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK 750.00 <br />Existing Use of Building Res HEAT SOURCE. <br />Proposed Use pLayildin- Gasivi Elecuic other <br />Building type Ingle Family Duple ovvnhousc-Family ommercial <br />Type of project: New Addition Remodel RepairT.I. Sin Sprinkler Demolition Change of Use <br />DESCRIPTION OF WORK (additional space provided on the back): <br />REPLACE GAS WATER HEATER <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of ProjecC _New _Addn Itemtinn _Repair <br />Show Nuhnher q of firfures <br />Typc of Project: _New _Add .11cntion _Repair <br />Show Member itof fh. turn.s <br />AIC—air handling units <br />loilel <br />Forced airs stems <br />Bnthlub _ <br />Gas pipinq <br />Lavatory wash basin <br />i <br />Water heater <br />Shower <br />I Gas fireplace <br />Kitchen sink 8 dis oral <br />Gas ran a <br />Uishvn. char <br />Clothes dryer <br />Clothes washer ___ <br />Range hood <br />Water heater <br />Exhaust fan <br />Sink se Acefbarlmo letc. <br />H22LPurnp <br />Backflow preventur <br />Unit heater <br />Urinal <br />Boiler <br />_ <br />Onnkin Fotenlam <br />Refrigeration <br />Flaor drain <br />I Woodslove <br />Grease tra <br />Duclinct <br />Root chains _ <br />Other <br />Medical Gas <br />SPRINKLER if SUPPRESSION SYSTEM <br />othac _ <br />Number of Heads <br />Other <br />1 hereby coY.dyfhal I to road and exArrlhed N, apph zf,on and know the samo to be We and correct AN prowsiorrs of lava and ordinances govemmg Ihrs type of vmrk wg be comp <br />weh whether Wecdlod hrocm of not Thego bneng of a permh does nor pirlunm to gone auNwcy to Aalafe or cancel the prove.ton of any other Gate at local law regulating conslrudlon <br />that 1 bin authahed by ate a Anar oryhis property, to perform the wok to• wArih appe_arlun is made and I comply witi tho Siate Conimetora law 1 a.27 RCW and 295 205A WAC. <br />Jennifer Covello — 615115 <br />OwnehhaUlfiorl2cd Agent SlRnature Date <br />(Revised 9.12014) <br />