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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN /SPRINKLER/DEMOLITION <br /> /141101%V---a CITY OF EVERETT PERMIT SERVICES <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:325 60TH ST SE PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: MIKE VOGT TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: sTREET325 60TH ST SE <br /> circ EVERETT STATE WA zip 98203 <br /> OWNER PHONE:425.347.6460 OWNER EMAIL: <br /> CONTRACTOR NAME:EYLANDER SALES &SERVICE <br /> CONTRACTOR ADDRESS: sTREET3601 EVERETT AVE <br /> CITY EVERETT STATE WA ZIP 98201 <br /> CONTRACTOR PHONE:425.259.2161 CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED):EYLANSSO42K2 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 016363 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425.231.2275 <br /> JOHN Da mechanical CONTACT EMAIL: <br /> BUILDING INFORMATION <br /> Existing Use of Building:SFR Contract Price of Work:$3000 <br /> Proposed Use of Building: Heat Source: ['Gas DElectric ❑Other <br /> BUILDING USE: DSFR CITownhouse ['Duplex OADU ❑Multi-Family-#Units: LjCommercial OAccessory Structure <br /> Type of Project: ONew DAddition ❑Remodel ❑Repair DTA. ESign OSprinkler ❑Demolition ['Change of Use <br /> DESCRIPTION OF WORK: <br /> REPLACE GAS FURNACE <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fawre Fixture Fixture <br /> Count List of Fixtures court List of Fixtures Count List of Fixtures Count List of Fixtures <br /> A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> I Forced Air Systems Other. Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER/SUPPRESSION SYSTEM` Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System I No.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.lam the owner,or lam authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> / <br /> PER # <br /> 0( —a c, <br /> 07% izedAente orDat (Revised 10/10/2018) <br />