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To: Permit processing City of Everett Page 3 of 4 2018-10-05 21:11:06(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 TAX# PE <br /> 5107 WOODLAWN AVE 00402900000500 S10-on <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER MALAKI I SEANOA Phone/E-mail 425-259-3884 <br /> Address 5107 WOODLAWN AVE cityistate/zip Everett WA 98203 <br /> APPLICANT: _Owner —Owner's Agent -_Contractor ✓iontractor's Agent ^Tenant(must provide a letter of consent from the owner to do it in the space) <br /> CONTRACTOR SEARS HOME IMPROVEMNT PROD INCState Lic.# SEARSH1011 LA City Bus. Lic. 3 <br /> Address 1024 FLORIDA CENTRAL PKWY, Longwood FL 32750 Phone/Email360-9452787 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Naida Khan/Northwest Permit Inc. <br /> Phone/E-mail 360-945-2787 naida@nwpermit.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $4312.94 <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas_ Electric Other__ <br /> Building type: X Single Family _Duplex_Townhouse []Multi-Family _Commercial <br /> Type of project: New Addition —Remodel V RepairT.I. 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 Adds Alteration Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> i NC-air handling units Toilet <br /> 1 Forced air systems Bathtub <br /> Gas piping j Lavatory (wash basin) <br /> Water heater Shower <br /> Gas fireplace ) Kitchen sink&disposal <br /> Gas range Dishwasher <br /> I Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan i Sink(service/bar/mop/etc.) <br /> { Heat pump ; Backflow preventer <br /> Unit heater j Urinal <br /> Boiler I Drinking Fountain <br /> Refrigeration t Floor drain <br /> Woodstove j 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 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 local law regulating construction <br /> That I am authorized by the <br /> owner of this <br /> "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 /> /V / ,14 <br /> Owner/Authorized Agent Signature Date <br /> (Revised 9/2014) <br />