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PERMIT APPLICATION <br /> 00000, <br /> BUILDING I MECHANICAL I PLUMBING I SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 i(E)everetleps@everettwa,gov I www.everettwa.govlpermits <br /> (UIue orBlack Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 2532 57th ST SW [PROPERTY TAX#: 00813500003100 <br /> LEGAL for new construction: Short Plat/subdivision Lot No, (attach copy of tong legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Thomas Powers TENANT NAME(If Commercial): <br /> OWNER!WAILING ADDRESS: 8-maul- 2532 57th ST SW <br /> err( Everett STATE Wa zip 98203 <br /> OWNER PHONE: 425-359-2552 DOWNER EMAIL: <br /> CONTRACTOR NAME: Bobs Heating <br /> CONTRACTOR ADDRESS- <br /> STREET 14148 NE 190th St <br /> CITY Woodinville STATE Wa zip 98072 <br /> CONTRACTOR PHONE: 800-840-3346 CONTRACTOR EMAIL: .lhoneycutt@bobsheating.con <br /> CONTRACTOR LICENSE InVoutp/Eot BOBSHHA8 53NQ CIT"'OF EVERETT BUSINESS UCENSE'W{REQUIREop 054967 <br /> PRIMARY CONTACT: ❑OWNER rfi CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: Lucinda Honeycutt CONTACT PHONE: 206-378-6735 <br /> CONTACT EMAIL: lhoneycutt@bobsheating.corn <br /> BUILDING PERMIT APPLICATION ......._. <br /> Existing Use of Building: SFR Contract Price of Work: 6100 <br /> Proposed Use of Building: S FR Heat Source: was ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached CASFR-Attached _ ❑Duplex ❑Multi-Familtr-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: DNew QMditlon 11RemodeI ❑Repair DTA. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK:' Add AC to ex '"sting hvac System <br /> ASSOCIATED BUILDING PERMIT#,(if applicable):. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_ Addn Alteration , Repair Type of project: ,,,,,,New Addn Alteration Repair <br /> List of Fixtures List of Fixtures List of Fixtures List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures4, <br /> 1 'A1C—Air Handling Units }seat Pump Toilet Backflow Preventerilnslde Bldg) <br /> Forced Alr Systems Unit Heater 'bathtub Urinal <br /> Gas Moho Boiler tavato <br /> iY(Wastti3I1), orlotrig F`oynft►[d <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace wood Stove Kltohen Sink.&t ..sal Oreesa Tot. <br /> Gas Range Ducting Dishwasher Roof Drains <br /> tglhen 41))c+. Other: Clothes Washer Medical Gas <br /> "Pnge -toad v Water Heater Other;; <br /> Exhaust Fan `Sink:(ServicelgarlMop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> JNumber of Heads <br /> ACKNOWLEDGEMENT.:1 have reviewed this application and confirm the information contained herein is true and correct.Work done pursuant to this permit must comply with <br /> currant federal,state,end lose!law.The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized In writing from the <br /> Building Official before being authorized under any circumstance.1 am the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, <br /> and!scom iy with the State Contractors Law 18.27 RCW and 298.200A WAG, <br /> CIV of Everett Official Use Only <br /> PE T# 6(61 <br /> �- , <br /> or/Authorized Agent Sinnott, - Date 171MM2vr80d. t16).: <br />