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To: Page 2 of 3 2017-07-10 18:40:04(GMT) 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: PROPERTY 99th Street SW PROPSRTVTAx#01001800003100 ITr t _ <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER Jian Huang Phone/E-mail 425-244-1800 <br /> Address 1106 99th Street SW City/State/Zip Everett WA 98204 <br /> APPLICANT:_Owner Owner's Agent __Contractor ✓ contractor's Agent _Tenant(must provide a letter of consent from the owner o work in the s ace) <br /> CONTRACTOR HOME DEPOT USA, INC State Lie.# HOMED**088RH City Bus.Liq'.# 5700 <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 aL7nwpermit.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 14,069.96 <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas_ Electric_ Other <br /> Building type: x Single Family Duplex_Townhouse nMulti-Family _ Commercial <br /> Type of project: New Addition Remodel I Repair_T.l._Sign__Sprinkler__Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Replacing 22 squares of comp. No plywood unless found at time of install. <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 air systems Bathtub <br /> Gas piping Lavatory (wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer i Clothes washer <br /> Range hood Water heater <br /> i Exhaust fan I Sink(service/bar/mop/etc.) <br /> Heat pump i Backflow preventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration I Floor drain <br /> Woodstove I Grease trap <br /> ( Ducting Roof drains <br /> 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 I am authorized by the owner of this property to perform the work for which application is made and f comply with the State Contractors Law 18.27 RCW and 296.200A WAG. <br /> Dyanna SconZO Digitally signed byDyannaSconzo <br /> �7 4+`Date:2017.07.10 11:38:09-07'00' <br /> Owner/Authorized Agent Signature Date <br /> (Revised 9/2014) <br />