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II 1111 <br /> PERMIT APPLICATION <br /> BUILDING/MECHAN1CAL/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: AX it <br /> 8305 Xavier Way EVERETT roPiERTY TI PM1?-0 —01)9— <br /> LEGAL for new construction. anon Ratrsubc'Irs on Lot No , rac:copy of long legal oescrpton) <br /> OWNER Dan Loose phone;E-maii 425-231-9784 <br /> ; res 8305 Xavier Way cirstate.zp EVERETT WA 98203 <br /> APPLICANT: Owner Owners Agent X ConIll0, C.OrtraCtor's Agent Tenant,,,,Ait wow**a cite*of cre,Irtt to,Zr5e c.,,exel r= <br /> CONTRACTOR Danika Plumbing & Contracting state Lic,# DANIKPC916LQ City Bus-Lk-# 053988 <br /> Amiress 524 132nd St SW, Suite 101B, Everett, WA 98204 pnoneiEmaii 425-335-3515 info@cianikaco.com <br /> TtNAITT BUSINESS NAME CONTACT FOR PERMIT <br /> Dan Loose <br /> Phone,E-raaii 425-231-9784 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $500.00 <br /> Existing',..lse of Building HEAT SOURCE <br /> Proposed Use of Bilikirxt raas Electric Other <br /> BUildirg type: X Single Family DupIex Tormitmse KikiIti-Famity Commercial <br /> Type c4 project New Addition Remodel X Repair T.!. Sign Sprinkler Demolition Change at Use <br /> DESCRIPTION OF WORK(addidonai space provioed cei the back): <br /> Replace water heater with similar. <br /> I MECHANICAL. PERMIT APPLICATION 1 PLUMBING PERMIT APPLICATION <br /> Type of Project New Addn Alteration Repair Type of Project _New Addn Alteration X Repair <br /> Show Number(e)of fixtures Show Number(#)of hirnires <br /> NC—air handling units Toilet , <br /> Forced air systems Balitu4.3 . <br /> Gas piping Lavatory 1:wasn basm;! <br /> I ' <br /> i Water heater <br /> Gas fireplace _ Shower <br /> Kitchen sir*&disposal <br /> I Gas range Diettwasher <br /> I Clanes dryer j Clothes washer ! <br /> Range hood _7:Waterheatr <br /> Ethaust fan Sink(serviceiberimpietc.) <br /> Heat pump Backflow preventer <br /> Unit heater Unnal <br /> Boiler Drinking Fountain <br /> I . . <br /> 1 Refrigeration Fool'dram <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> 1 SPRINKLER I SUPPRESSION SYSTEM 1 Other <br /> Number cif Heads <br /> t ref cry MI I r e read arC exarr.neo M16 34.,DAC.ZIC1 3na LI:*IW same to be ne 3n0 Carect Atpro,dzoans or'...W6 ana CinfirtarOki governing tnis lype or•wa(t ow to ocinp <br /> or vitetrier waled hew or not.The t59 or a pennit aces not presume to gwe Xlmotroo wolate or caicei me provsion or any other gate or oca ae regitamg coistruct)on <br /> That 1 3fr autorzedyi rne owner or trA;r:certy to Worn V*wsn an " ,4 mace are I compy vim Inc rain Conry La*,,,f.27 R CVO we 2S5 24r.‘A WAC <br /> OWner/Authortzed Agent Signature Date iRensed 9/24141 <br /> ,:7/ <br />