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To: Permits Page 2 of 4 2018-06-07 02:06:09(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: <br /> 1410 W CASINO RD C 24 PROPERTY TAX#00815600302400 " T SOL n2.' <br /> LEGAL for new construction: Short Plat/subdivision _ Lot No. (attach copy of long legal description) <br /> OWNER NICHOLAS JOHNSON Phone/E-maii360-320-0454 <br /> Address 1410 W CASINO RD C 24 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 to do word n the space) <br /> CONTRACTOR SEARS HOME IMPROVEMNT PROD INC State Lic.# SEARSHI011 LA City Bus.Lie.# <br /> Address 1024 FLORIDA CENTRAL PKWY, Longwood FL 32750 Phone/Email360-9452787 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Naida Khan/N. west "-rmit Inc. <br /> Phone/E-mail 360-945-2787 naida@n permit.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WOR $9293.89 <br /> Existing Use of Building HEAT S i URGE: <br /> Proposed Use of Building Gas_ lectric_ Other <br /> Building type: X Single Family _ Duplex_Townhouse [Multi-Family _Commercial <br /> Type of project: _New Addition Remodel f Repair_Ti. Sign Sprinkler_Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Replace elec furnace. <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 /> NC—air handling units t Toilet <br /> 1 Forced air systems Bathtub <br /> Gas piping Lavatory (wash basin) <br /> Water heater § Shower <br /> Gas fireplace i Kitchen sink&disposal <br /> Gas range ; Dishwasher <br /> Clothes dryer i Clothes washer <br /> Range hood i Water heater <br /> Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler ; Drinking Fountain <br /> Refrigeration i Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER/ SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAG. <br /> Naida 1 Ida Khan Digitally signed by Naida Khan-e Date:2018.06.06 19:05:25 07'00' <br /> Owner/Authorized Agent Signature Date <br /> (Revised 9/2014) <br />