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�8/17/2012 11:09 4257891313 SCION P.EALTY GP.OUP ?AG= �2/03 <br /> PERMIT APPLICATION <br /> Bl!lLDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CI7Y OF EVERETT PERMIT SERVICES <br /> 3200 :,edar St., Everett, WA 98201 -425-257-8810 — FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIUNS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITEADD��S�4 6th Dr SE #B EVERETT PROPERTYTA%p P�ilr� �� <br /> ' ' 1 <br /> LEGAL for new constiuclion' Snon PlaVsubtlrvision Lot No._ (avacn wpy ul long legal descnption) <br /> OWNER Renate Manz PlionelE-mail 425-353-5390 <br /> n����ess 10114 6th D� SE #B CitylStatefZip EVERETT WA 98208 <br /> CONTRACTOR Danika Plumbin 8� Contractin �a i u� u DANIKPC916LQ <br /> naa�e55 3614 73rd Dr NE, Marysville, WA 98270 Phone/Crnail(425)335-3515/i�fo@danikaco.com <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT Renate Manz <br /> Pl�onelE-ma il 425-353-5310 <br /> BUILDING PERMIT APPLiCAT10N CONTRACT PRICE OF WORK $5(10-00 <br /> Gxisting Use o(QuilAing HEAT SOURI;E: <br /> Proposed Use ot 8uilding Gas clectric____ Other <br /> Dwiding type� �Single Famity _Duplex_Townhouse _Multi-Family _Cemmercial <br /> Type of projecC __New _Addition _Remodel _Repair X T.I._Sign_Sprinkler_Demolilion_Change of Use <br /> DCSCription o(Work�atldilional spacc provided on�ho LacXJ: <br /> l�er+�ove vlo� wa,�e� kea`fp� '� ns�til( new s:m�Iar - G� <br /> Have you starled working without a pennil? �YES _NO <br /> MECHANIGAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo of Pwject: _Now_Addn _Alteratlon_Rapalr Type of Pmjoc[: _Nuw_Addn __AlteraUon�(Ropair <br /> ShowNwnber N�o!lixfures ShawNum6er(pJo/fixtures <br /> ' A/C—air handling units �� Toile� <br /> Porced air s slems Balhtub <br /> Gas piping Lavalory(�vash basin) <br /> ! Waterhea�er � � Shower <br /> '� Gas!ireptece Kifr,hen sink&disposal <br /> Gasran e �ishwasher � <br /> � Clothes dr er -Clothes washer <br /> Ron e hoad 1Naler heater <br /> Ezhaust fan Sink(servicelGadmop/e�c.) <br /> Heat pump Backilow preventer <br /> � Unit heater Unnal <br /> � Ooilor Dnnkin Foun�ain <br /> Re(riqeration Floor drain <br /> I Woodstove Grease Ira <br /> � Ductin❑ Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other. <br /> Num6er of Heads Olher. <br /> I hereby certify ihat I have reatl antl exammed Ihis applicatlon and know the same to be Irue and correct.All provisions ol laws and ordinances govermng <br /> this type of work will be co:npiied wilh whether specifietl herein or nol.7ha�rantiny ol a pemiit does nol preswne lo give aulhonry to violate or cancel <br /> fne prnvi,ion of any other stale or lowl law regulaling conslruction or Ihe pertonnance ol con5truclion.Thal�am aUlhOr¢ed by Ihe owner o(�his property <br /> to pedorm iho work(or wl��ch appliw4on is maUu and I comply vnih he Sla' Con�raciors Ww 18.27 RCW antl 29G200 WAC <br /> �� %"�Go— `� /7 L I <br /> Own�th6rizodAgontSignaWro Oate (Revrsed?/2077) I]� <br />