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To: Page 2 of 5 2017-09-19 23:30:08 (GMT) 18884000383 From: Northwest Permit Inc. <br /> PERMIT APPLICATIQN <br /> BUI�D1NGit�ECHANiCALIP�UMBING/SIGN1SPRiNKLERIDEMOLiT�ON <br /> CITY OF EVERETT P`ERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98209 425-257-8810 FAX 425-257-8857 www.everet#wa.org <br /> s�rE a�o��ss:�830 CADY RD P�opE�,�TAx#00443100003900 ,,.� �- <br /> LEGAL for new construction: Short PlaUsubdivision Lot J�ta. (attach copy of Iang lagai description) <br /> ovyNERGREGG JABS �nonetE-mai�415-238-3949 <br /> Aaa�es5 5830 CADY RD c�r��scacs�z�p Everett WA 98203 <br /> APPLiCANT:_Owrier _owner's Agent __Cor�tractor � ontractor�S A�BM _T011atit(must provids a letter oFco;uant trom ihe ownerio do work�rf 3ie spaceJ <br /> CONTRACTOR HdME DEPOT USA, INC State �ic. # Ht)MED*�088RH City Bus.�ic.# 57dO� <br /> Address2455 Paces Ferry Rd Atlanta 30339 Pnone�emai�800-381-5699 <br /> TENANT BUSiNESS NAME CONTACT FO#2 PEf2MIT <br /> Dyanna Sconzo/Northwest Permit fnc. <br /> PhonelE-mait 360-945-2787 dy'{,a�`nwpermit.corn <br /> BUtLDING PERMIT APPL�CATtON f CONTf2ACT PRICE OF WORK ��538.84 <br /> Exis6ng Use of 8uilcfing HEAT SOURCE: <br /> Pt'oposed Use of Buildir�g Gas Electric Other <br /> Building type: �Single Family _Duplex_Townhouse ❑Niulii-Family _Commercial <br /> T e of ro'ect: New Addition Remodel � Re air T.I. Si n S rinkier Demalition Chan e of Use <br /> DESCRIPTION OF WE}RK(additional space providea'on fhe back): <br /> Replacing 13.5 squares of comp and 13.5 squares of decking Plywood <br /> MECHQNICAL PERMIT APPLtCATtON PLUMBING PERMIT APPLtCAT10N <br /> Type of Project: _New_Addn _Alteration_Repair Type of Projec#: _New_Addn _AlteraGon_Repair <br /> Show Number # of fixtures Show Number # of ffxiures <br /> A1C—air hand�in units Toilet <br /> Forced air s stems BathYub <br /> Gas i in LavaEo wash basin. <br /> F Water heater Shower <br /> F Gas#ire lace Kitchen sink 8 dis osai <br /> Gas ran e Dishwasher <br /> Clothes d er Clothes washer <br /> ' Ran e hood Water hea#er <br /> ; Exhaust fan Sink servicelbartmo letc. <br /> € Heat um Backflow reventer <br /> Unif l�ea#er Urinai <br /> ; Boilar Qrir�kin Fountain <br /> 3 Refiri erafion � Fioor drein <br /> Wovdstove Grease irap <br /> F Ducting i Raaf drains <br /> Of��� Medical Gas <br /> SPRiNKLER/ SUPPRESSI�N SYSTEM other: <br /> � Number of Heads s <br /> Other: <br /> t here6y certify Yhat i have read and examined ihis application and know the same in be true and correct.Ail provisions of laws and ordinances goveming ihis type of work wili be compi <br /> wfth whether specified herein nr not.The granYing o�a permit does not presume to give auYhority to vfolate or cancel{he provisbn oP any other sYate o�local law regutalir�g consiruc[ion <br /> That i am authorized by the owner of thi�property to perform the work for which application is made and f compty with the State Contractors Latv 18.27 RCW and 29G.200A WAC. <br /> �Yanna G`C�nZ�1 Digitaliy signed by Dyanna Sconzo <br /> J 4��Date:20i7.09.1916:23:48-07'00' <br /> Own�r/Authonzed Agent Signature Date (Revised 9/20?4) <br />