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To. E Page 2 of 3 2014 10-29 17.36 10 (GMT) 18584000383 From. Deborah Shields <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-BB10 FAX 425-257-8857 www.everettm.org <br />SITE ADDRESS: 9620 19TH AVE SE <br />PROPERTYYAK p425-353-4533 <br />PERII11 _1. <br />LEGAL rot nevJconmruction Shan Plat/sutdNlsion <br />Lo; fJo._ (aracn copy of Iona legal deecrlpticnl <br />OWNERALFY'S PIZZA INN INC <br />Phonete•m3d425-353-4533 <br />Arj t, ,s 620 19TH AVE SE <br />Cdv/StalerzzpEVERETT, WA 98208 <br />APPLICANT:_Ov.oer _Owner's Agent _Cua_r., <br />ComraCCrs Agem _Tenant prn••tpc.,daa@da daoecm bontw owle, o do w)'I r or spr•el <br />CONTRACTOR WESCO <br />State Lic. x WASHIES971 OB City Bus. Llc. Is41349 <br />,ac!ess3909 196th St SW <br />Pncne/Ema0800-398-4663 <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT <br />JEwaFER COVC0.02Y.17a.9a99JEIJn : ERN NIVEpa,T C04 <br />Fhaneranad <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK 8500 <br />EJasbng Use of Building COMMERCIAL _ HEAT SOURCE: <br />Proposed Use Oldin Gas Flectnc Omr <br />Budding typeingle Family DuPle ownhouse Family ammercial <br />Type of project New Addition Remodel Rf al .I. Sign Sprinkler Demolition Chan a of Use <br />DESCRIPTION OF WORK (additional space provided an the flack). <br />REPLACE GAS WATER HEATER <br />w - " • _ °'"' " <br />ill •.: ..•.. ,,,. .-_.... ,_". _ . - _„ �, <br />" -' <br />y <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Protect' _New_Add ttetadon _Repair <br />Show Number A or flrlures <br />Type of Projects _IJew _Addn h( Iterallon _Repair <br />Show Number p of Nrturas <br />A/C - air handling units <br />Toilet <br />Forced air systems <br />Bathtub <br />Gas piping <br />Lavatory wash basin) <br />Water healer <br />Shower <br />Gas fireplace <br />Kitchen sink 8 disposal <br />Gas range <br />Dishwasher <br />Clothes dryer <br />Clothes washer <br />_ <br />Range hood <br />Water healer <br />Exhaust fan <br />Sink semc0barfmo /e1e. <br />Heat pump <br />Backfiow prevenler <br />Unit heater <br />Urinal <br />Boiler <br />Orinkinq Fountain <br />Refrigeiatiorl <br />Floor drain <br />Woodstove <br />Grease trap <br />Dueling <br />Roof drains <br />Other _ <br />Medical Gas <br />SPRINKLER / SUPPRESSION SYSTEM <br />Other <br />Number of Heads <br />Other <br />I herebycenitr that (have read and eramined this aep Ecalion and know rAe same to to true and coned. Al proviwi, etays and adinances governtna the:yoa ofwod vA be comp <br />vmhwhelhel apecched he•eb, err not. The OrawAa of a period dices not prewme to give aint la vmlale of cancel:he provuun at any dher Oale or local bw repdaang construction <br />That fan aulho.vad tytaw oenar of thu pmperyto cedetm the work Itt vdilch app9wl4nis made and I comply wch Iha Slate Comracom Law le.27 RCVJ and 206200A w'AC. <br />Jennifer Covello — --•-» -• ,vte„r <br />Owner/Authorized Agent Signature - Dale <br />