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To:E Page 2 of 3 1 I 2017-07-19 00:59:39(GMT) 18884000383 From:Northwest Permit Inc. <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLU M BING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St.Everett,WA 98201 425-257-8810 FAX 425-257-8857 www.everettwaorg <br /> SITE ADDRESS:12509 22nd ave IPROPERTYTAXg <br /> se 00877400002100 °ell -(1) "— C/4 3 <br /> LEGAL for new construction: Short Platistibclivision LotNo, (attach copy of long legal description) <br /> , <br /> OWNER Barun Sharma Phone/E-rnall v204406968 <br /> Address 12509 22nd ave se cityisteteizipEverett WA 98208 <br /> M ' <br /> APPLICANT: Owner Owners Agent Contractor if o11 tractor's Agent Tenant(must provititra tette'ottousent from the ono, ,Aro workiri littt sPace <br /> CONTRACTORSeers Home Improvement Prod Inc State U .# SEARSHI011 LA City Bus. 10,#33321 <br /> Address 1024 Florida Central Pky Longwood FL 32750 Phone/Ernall 3609452787 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Jean ifer Covello/Northwest Permit inc. <br /> Phone/E-mail 360-945-2787 Jerinifer( nwpornift.cOrn <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 82770° <br /> Existing Use of Building HEAT SOUROE <br /> Proposed Use of Builtling Gas Electric Other <br /> Building type: Single Family 0 ownhouse rikittiti-Farnily Commercial <br /> Type of project: New . Addition I Remodel F, . ]Repair. TA., ,Sign Sprinkler, :Demolition, Change of Use Remodel <br /> DESCRIPTION OF WORK(additional/vace provided on the beck): <br /> TEAR OFF AND RE-ROOF 21 SO NO PLYWOOD <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TYPe of Project:__NeW Addn Alteration Repair Type,of Project: New_Adcin Alteration_Repair <br /> Show Number(#)at fixtUr0 Show Number(#)of fixtures <br /> A/C—air handling units <br /> Toilet <br /> Forced air system <br /> Bathtub <br /> I Gas piping Lavatory(wash basin) <br /> I. Water heater Sttower <br /> Gas fireplace. Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> — <br /> Range hood Water heater <br /> Exhaust fan $Jnk(service/bar/mop/0c.} <br /> Heat pump Backflow preveNer <br /> Unit heater Urinal <br /> Boiler Drinking,Fountain <br /> Refrigeration 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 /> I hereby"pet*that I have read end examined this application and Mow the same to bairns and correct At provisions or laws and ordinances governing this type ofVork will be must <br /> with whether specified herein or not.The granting of a permit does not vresunie to glve aetherity to violate orcancelthe provision craw other slate at fecal law tegetatino aonshialkxi <br /> That lam authodzed by theonster of this property 0 perform the work lorwhish application is made,and I comply with the State Contractors Law 18.27 RCW and 294.200A WAG. <br /> 07/19/2017 <br /> Owner/Authorized Agent Signature Date (Rev/soda/204 <br /> _......, <br /> ake..QCb <br /> 1 <br />