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To: Page 2 of 3 0 2017-07-10 18:48:03 (GMT) 0 18884000383 From: Northwest Permit Inc. <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> SITE ADDRESS: 1710 Walnut St PROPERTY TAX#00556339502700 PERMIT# <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER Richard Henderson Phone/E-mail 206-886-8408 <br /> Address 1710 Walnut St City/State/zipEverett WA 98203 <br /> APPLICANT; _Owner _Owner's Agent __Contractor ✓ on tractor's Agent _Tenant(must provide a ietrer of consent trom the owner t a workn me pace) <br /> CONTRACTORHOME DEPOT USA, INC state U,. # HOMED**088RH City Bus. Lic. 5709/1 <br /> Address 2455 Paces Ferry Rd Atlanta 30339 Phone/Email 800-381-5699 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Dyanna Sconzo/Northwest Permit Inc. <br /> Phone/E-mail 360-945-2787 dy@nwpermit.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 1.955.84 <br /> Existing Use of Building HEAT SOURCE <br /> Proposed Use of Building Gas_ Electric Other_ <br /> Building type: x Single Family _ Duplex_Townhouse ❑Multi-Family _ Commercial <br /> Type of project: New Addition Remodel f Repair T.I. Sin Sprinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Replacing 4 squares of comp and 1 sheets of decking <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn _Alteration_Repair Type of Project: _New_Addn _Alteration Repair <br /> Show Number # of fixtures Show Number # of fixtures <br /> A/C—air handling units Toilet <br /> Forced airs stems Bathtub <br /> Gas piping Lavatory wash basin <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> i Gas range ; Dishwasher <br /> Clothes dryer i Clothes washer <br /> Range hood Water heater <br /> Exhaust fan j Sink service/bar/ino /etc. <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler <br /> Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> I Ducting Roof drains <br /> j Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I hereby certify that I have read and examined this application and know the same to be true and correct.All provisions of laws and ordinances governing this type of work will be comp) <br /> with whether specified herein or not.The granting of a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction <br /> That 1 am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 29G 200A WAC, <br /> Dyanna SCOnza"iitallysigned byDyanna Sconzo <br /> Date:2017.07.10 11.45:32-07'00' <br /> OwnerlAuthorized Agent Signature Date <br /> (Revised 9/2014) <br />