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03/0%/2�13 11:07 4257891313 SCION P.EALTY GROUP �aGE 02/03 <br /> • � <br /> PERMlT APPLICATION <br /> BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar Sl., Everett, WA 98201 - 425-257-8810 – FAX 425-257-8857 –www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FR061 8 AM TO 4 PA1 3 �.Q�7 `�I 3 <br /> SITEADD����:14th DrW, #303 EVERETT PROPERTYTA%N N miTa / <br /> 21 <br /> LEGAL for r�ow construqion- Short PlaVsuDtlivislon Lol No._ (allach copy o(long iugal Cr.scrlplion) <br /> owNeEz St2ve LodholZ Phano/E-mail 425-903-0302 <br /> naa�oss 5620 14th Df W, #303 c�iYis��t��z�P EVERETT WA 98203 <br /> CONTRACTOR Danika Plumbin 8 Contractin L 8 I Lic. p DANIKPC916LQ <br /> nad«5� 3614 73rd Dr NE, Marysville, WA 98270 Phone/Email(425)335-3515/info@danikaco com <br /> TENANT BUSINESS NAME CONTACT FOR PERb11T <br /> Steve Lodholz <br /> Pho���F�m3u 425-903-0302 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 500 �0 <br /> Gxishng Use of Builtling _ HEAT SOURCE� <br /> Proposed Use of�uilding Gas___ [iocmc_ Ciner <br /> Building type: �Single Family _Duplex_Townhouse _Multi-Family _Gommercial <br /> Type ol pro�ect: _New _Addilion _Romodel _Repair X T.I._Sic�n_Sprinkler_Domolition_Chango of Uso <br /> Descriplion of Work(additionai space provirled on 1ho back): <br /> Havn you started working without a permit7 �YES _h0 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLiCATION <br /> Typu ol ProJoct: _Now_Addn _Altera�lon_Ropalr Typo of ProJocl: _New_Addn _Allerallon�Rapair <br /> Show Numbc�(N)o!Ilaluras Show Numbor(N)ol llxiures <br /> A/C—air handling units �ioilel <br /> Forced air s slems Bathtub <br /> Gas pipiny Lavatory(viash Uasin) <br /> Waler healer Shower <br /> Gas(ire ilace Kilchen sink 8 dis osal <br /> Gls ranqe Dishwasher <br /> Clo�hes Aryor � Clotlir.s washer <br /> Ran n hood Walor hoater <br /> Ezhaust lan Sink servicelbarlmoplelc. <br /> Heal um� Har.ktlow reventer <br /> Unil hr.ale! U�inal <br /> F3oilar DnnY.m� Founlain <br /> Rr,(rir eralion Floor drain <br /> Woodstovc Groasc Ira <br /> Uuc�in Roof drains <br /> Other Medical Gas <br /> SPRINKLER 1 SUPPRESSIOP7 SVSTEM omer. <br /> Number ol Hoads Olhec <br /> I hewby cenify Omt I hnvu ruad and oxamineJ Ihis applicalion anU knurv Iho samo to Uo Irun an�wrrecl All o�ovi;�ons of laws entl ordmances ywurn�ny <br /> Ihis type ol work vnll Ue comphed vnlh e�heU�er speciGed tierain or nol.Thr,granling ol a permil AoeS not presume l0 9ive authorny to viol�le or cancel <br /> ihe provi9ion o�any olher sVdo ar lotal law wgulalinp Con;trutlion or Iho Uor�ormanco olConStrucli0n. Thal l am aulhor�¢cA by Ihe owner ol lhis V�openy <br /> tn pnriorm Iho work lo�nvh�ch apphe on¢madc and I campiy v,�Ih iha SP Ie Conlntlors Law 7827 RCW.nd 29Fi200 WAC <br /> � ��/ -- ��b/,�— <br /> OwnorA Ihor etlApeMSignaWm Dalo (Revised7/2017) <br /> 1.I y <br />