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01/25/2013 10:24 4257691313 SCION REALTY GROUP PAGE 02/03 <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERET": PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — wnvw.everettwa.Drg <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 Phi <br />SITE ADDRESS: O _1 G r � <br />PROPERTY tax a <br />PERMIT a <br />LEGAL for new construction: Short Plarlsubclivision Lot No (attach copy of long legal descnpbon) <br />yli\ Poo- <br />OWNER K^� <br />Phone/E-mail —�i''s/�~ alrt-';-10 <br />a ` r `' <br />Address ua Hit <br />City/Statef2ip 2Ve✓e-H L&A of d V I <br />CONTRACTOR Danika Plumbing S Contracting <br />L 8 I Lic p DANIKPC916LO <br />Addre:c 3614 73ro Dr NE.:!agsvdle- WA 90270 Phone/Email 425-335.35151 infoodanknco. com <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT <br />Pncno,E-mail 425.335.35151 info@damkaco.com <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK $500 <br />Existing Use of Building HEAT SOURCE <br />Proposed Use of Building Gas __ Electric Other <br />Budding type: X Single Family _ Duplex _Townhouse _ Mufti -Family _ Commercial <br />Type of project: _ New _ Addition _ Remodel X Repair _ T.1. _ Sign _Sprinkler _-Demobtion_Change of Use <br />Description of Work (additional space provided on the back): <br />Swap out water heater for similar. — 03A4, <br />Have you started working without a permit? X YES __NO <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration X Rupair <br />Show Number (b of fixtures <br />Type or Project. New _Adds _Alteration _Repair <br />Show Number p) of pxtures <br />NC - au handling units <br />Toiler <br />Forced airs stems <br />Bathtub <br />Gas piping <br />Lavatory wash bosln) <br />1 <br />Water heater <br />Shower <br />Gas fireplace <br />Kitchen sink 8 disposal <br />Gas ran o <br />Dishwasher <br />Clothes dryer <br />_ <br />Clothes washer <br />Range hood <br />Water heater <br />Exhaust fan <br />Sink servicelbadmo /etc. <br />Heal pump <br />BackBov preventer <br />Unit heater <br />Urinal <br />Boiler <br />Drinking Fountain <br />Refn oralion <br />Floor drain <br />Woodslove <br />Grease trap <br />Ducting <br />Roof drains <br />Other <br />_ _ _ <br />Medical Gas <br />SPRINKLER I SUPPRESSION SYSTEM <br />Other <br />Number of Heads <br />Other. <br />I hereby certify that 1 have read and examined this application and know the same lobe true and correct. All provisions of laws and ordinances governing <br />this type of work will be complied with whether specified herein or not. The granting of a permit does nor presume to give authority to violate or cancel <br />the provision of any other state or local law regulating construction or the performance of construction. That I am authorized by the owner of this prop any <br />to perform the work for which apphcallon Is made and I comply with the State Contractors Law 15.27 RCW and 296.200 WAC <br />_1 10E 113 <br />OwnerlAuthorizcd Agent Si V <br />.lure I Data <br />(Revised 212011) <br />