Laserfiche WebLink
PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBINGlSIGN/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 /> s�rEaooRess:2728 104TH PL SE PROPERnrax#00868300101400 P _ a( <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> owNeRW�LLIAM NGUYEN Phone�E-mai�425-770-8559 <br /> Address2728 104TH PL SE c�cy�stace�z�pEverett WA 98208 <br /> APPLICANT:_Owner _Owner's Agent _Contractor � ontractor'S Ag211t _T211811t(must provide a lerier of consent from the owner to do work in the space) <br /> coNTRncTORHOME DEPOT USA, INC State�ic.# HOMED"*088RH Cit Bus. ���.# 57001 <br /> ,ada�ess 2455 Paces Ferry Rd Atlanta 30339 Pho�e�Emai�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 11,561.91 <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas Electric Other <br /> Building type: �Single Family _Duplex_Townhouse ulti-Family _Commercial <br /> T e of ro'ect: New Addition Remodel � Re air T.I. Si n S rinkler Demolition Chan e of Use <br /> DESCRIPTION OF WORK(additiona/space provided on tne back): <br /> Replacing 26 squares of comp roofing. 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 fxfures Show Number # of fxtures <br /> A/C—air handlin units Toilet <br /> Forced air s stems Bathtub <br /> Gas i in Lavato wash basin <br /> Water heater Shower <br /> Gas fire lace Kitchen sink&dis osal <br /> Gas ran e Dishwasher <br /> Clothes d er Clothes washer <br /> Ran e hood Water heater <br /> Exhaust fan Sink service/baNmo /etc. <br /> Heat um Backflow reventer <br /> Unit heater Urinal <br /> Boiler Drinkin Fountain <br /> Refri eration Floor drain <br /> Woodstove Grease tra <br /> Ductin 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.AII provisions of laws and ordinances goveming this type of work will be compl <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 Iocal law regulating construction <br /> That I am authorized by the owner of this property to perform the work forwhich application is made and I comply with the State Contractors Law 1827 RCW and 296.200A WAC. <br /> Dyanna Sconze�`DigitallysignedbyDyannaSconzo <br /> i�ate:2017.08.29 11:20:36-07'00' <br /> Owner/Authorized Agent Signature Date (Revised 9/2014) <br />