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o �CIDN P,EALT'( G?0'JP PAG- OJ�3 <br /> l�,!1?/2�12 11: ZC� 4�578'31313 <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALI{'LUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 -425-257-8810 - FAX 425-257-8857 -wwvr.everettwa.ory <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM — ��J—J Z <br /> SIl E_ADD���S�:�4th St EVERET�' PROPERTY TAX u , �PMIT , <br /> � i ` 'L <br /> LEGAL lur ne•;;consLucuorc Stiori PlaUsuUaiv�s'ion Lot No._ (atlach r.opy of lonp lepal descnplion) <br /> OWNER Melanie Milnes PlmnelEma�l 206-310-6786 <br /> Atldress 1810 14th St c�Y�s����iz�v EVERETT WA 98201 <br /> CONTftACTOR Danika Plumbin & Contractin � A i u�. �: DANIKPC916LQ <br /> ned«5y 3614 73rd Dr NE, Marysville, WA 98270 F�i,����e�.,��i(425)335-3515/info@danikaco.com <br /> TENANT QUSINESS NAME CONTACT FOR PERMIT <br /> Melanie Milnes <br /> p��������m��� 206-310-6786 <br /> BUILDING PERMIT APPLICAYION CONTRACT PRICE OF WORK �500 00 <br /> Existing Use o(�uil�ing HEAT SOURCE: <br /> PropoSE.. U5e o(Buildin9 Gas__ Eletlric Othei_ <br /> Building type: �Single Famity _�uplex_Townhouse _tdulti-Family _Commercial <br /> Type o(piojecl: _New _Addition _Remodel _Repai�_X T.I. __Sign__Sprinkler_Demoliticn_Change of Use <br /> DeSCripliDn of Wofk(�ddifional spaco providod o'ri fho bac6): <br /> �p[ac� e(e���� wo�.�pi- l,�Q�p, <br /> Havc you started working without a permit7 _�YES _NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Projocl: _New_Adtln _Altaration_Rapair Type of Project: _New_Addn _Alloratien�(Ro�air <br /> Shrnv Num6ur(#)o(lrxtures Show NumGer(Nl o7/ixtures <br /> ' A/C–afr handlinp unils Toilei <br /> Forced air systems Bathtub <br /> Gas pipinq Lavatory(�vash basin) <br /> ' Water heater Sho�ver <br /> Gas tireplzice Kdchan sink&disposal <br /> Gas ranqe Dishr:asher <br /> Clolhes dryer Ciolhes e�asher <br /> Ran e hood Water heater <br /> Ezhaust fan '� Sink(service/badmopletc.) <br /> I � Heat pump ' 8achllow orevenler <br /> Unit hcaler Urinal <br /> �oiler Drinkin FouNain <br /> Refriqera�ion Ploor drain <br /> � Woodstovc Grease irap <br /> Ductin9 Roof drains <br /> Olher Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other: <br /> Number of Hcads Other: <br /> : hu�eby cr.ndy Ihat I have reatl and oxamined this application and know the same Io be Ime and correcL A'�.I provisions of la�.vs and mdiwnces gevern:no <br /> Ih�s lype of v�ork v,ill be complietl a�th vfiether specilied herein or nol.The granting of a permit does not presume to gwe aulhority to vlolale or cance! <br /> the Orovision ol any other s�ate or Inail law regul.Img cons�mciion or ho pori rmance of construction.Thal I am aulhorizetl�y the ov,ner of Ih�s preperty <br /> to perform the wor for which� plic�de and I comply willi t e Stal Contraclors Ww 18.17 RCW and 296,200 LVAC <br /> ! / <br /> r � <br /> Own AutlmnzedA�jentSlgnaWro Dae fRevis�•tl7/2077) <br />