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PERMIT APPLICATION <br /> BUILDING/MECHANICAL 1 PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> '4467PC <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 5607 1st Ave SE PROPERTY TAX#: 00795300003800 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> , <br /> CONTACT INFORMATION <br /> OWNER NAME: Glorianne Bora TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 5607 1st Ave SE <br /> CITY Everett STATE Wa ZIP 98203 <br /> OWNER PHONE: (816)509-5796 OWNER EMAIL: <br /> CONTRACTOR NAME: Bobs Heating <br /> CONTRACTOR ADDRESS: STREET 14148 NE 190th St <br /> om. Woodinville STATE Wa ZIP 98072 <br /> CONTRACTOR PHONE: 800-840-3346 CONTRACTOR EMAIL: lhoneycutt@bobsheating. corn <br /> CONTRACTOR LICENSE#(REQUIRED):BOBS HHA8 5 3NQ CITY OF EVERETT BUSINESS LiCENSE#(REQUIRED): 054967 <br /> PRIMARY CONTACT: ❑OWNER °CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: Lucinda Honeycutt CONTACT PHONE: 206-378-6735 <br /> CONTACT EMAIL: lhoneycutt@bobsheating.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: SFR Contract Price of Work:$3200 <br /> Proposed Use of Building: Heat Source: Ix—IGas ❑Electric ❑Other <br /> Building Type: ®SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ®New °Addition ❑Remodel ❑Repair DTI. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Like for like gas furnace replacement. NO HEAT. <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 /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> NC—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> 1 Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes;Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER I SUPPRESSION SYSTEM <br /> (Number of Heads <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct.Work done pursuant to this permit must comply with <br /> current federal,state,and local 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.I am the owner,or i am authorized by the owner of this property to perform the work for which application is made, <br /> agd./comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> 1/ \ (i ' City of Everett Official Use Only <br /> lir PERMIT# <br /> 2/8/2019 M(ADZ-024 <br /> e ,ut .rized.-•r' f Signature Date (Revised 5r20/20f6) <br />