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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 wrAW everettwa org <br />/o—I <br />SITE ADDRESS: <br />1891 Virginia Ave, Everett WA g9201 <br />PROPERTY TAX <br />PE <br />MIT <br />I <br />_ O 2 <br />LEGAL 'or newconslruclion Short Plat/subdwision Lot No_ (attach copy or long legal descoplion) <br />OWNER Jason Madrano <br />Phone/E-mail 206 351 0003 badastra@gmad.com <br />address Ia31 Vagina Ave <br />C4Y/Stole/Lp Everett, WA98201 <br />APPLICANT: x Owner _Owner's Agent _Contractor Contractors Agent _Tenant lmuvao.ie.aiena.d�..m imm me o+ooudo.an n tie xr+:., <br />CONTRACTOR <br />State Lic. # City Bus Lic # <br />Address <br />Phone/Email <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT <br />20535,0003 badastra(5'gmadcom <br />PPO,elE-ma i <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK <br />Existing Use of Building Single Family Residence HEAT SOURCE <br />Proposed Use of Building Single Family Residence Gas Electric Olhertwood (Formerly) <br />Building type. x Single Family _ Duplex _Townhouse _ Multi -Family _ Commercial <br />Type of project New Addition % Remodel Re ah T.I. Sin S nnkler Demo4tion Chan a of Use <br />DESCRIPTION OF WORK (additional space pmvrded on the back)'. <br />lien*e gas fireo wafer tank, install gas fired tankless water heater, add gas traitor tanhless, add ekhausl vent and combustion air supply to lanuess. <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project. _New_Addn x Alteration_Repair <br />Show Number d of fixtures <br />Typeol Project: _New_Addn _Alteration —Repair <br />Show Number d of fixtures <br />A/C - air handling units <br />Toilet <br />Forced au systems <br />Bathtubif <br />Gas piping <br />Lavatory wash basin <br />Water heater <br />Shower <br />Gas fireplace <br />Kitchen sink & disposal <br />Gas range <br />Dishwasher <br />Clothes dryer <br />Clothes washer <br />Range hood <br />Water heater <br />Exhaust fan <br />Sink service/Dar/mo /etc <br />Heat pump <br />Backllow Ifteventer <br />Unit healer <br />Urinal <br />I Boiler - k I- ; Wrt-114- tt <br />Drinking Fountain <br />Refrigeration <br />_ <br />Floor drain <br />Woodslove <br />Grease trio <br />_ <br />Ductinct <br />Roof drams <br />1 Other Exhaust 6 Fresh Air vents <br />Medical Gas <br />SPRINKLER / SUPPRESSION SYSTEM <br />Other <br />Number of Heads <br />Other. <br />I hereby "May that l have react and examined this dpptieation and know lie same to be line and mnecl Nlp'ovisans of laws and onlmances govemmg this type Of work wd be tompl <br />will wh other speosed herein or not. The thrilling of a pomiit does not presume to give aulhonty to votate or cancer The provision of any other stale or bcal law regulating constmtlion <br />Thai I am authorized by the owner ollhis property to perform the work lot which appscalion is made and I comply with the State Contractors Law 18 27 RCW and 296 200A WAC <br />4ner7A.1h0'ri`AdAgent <br />3Oclober2014 <br />Signature Date (Revised 92014) <br />V�' <br />