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MNPERMIT APPLICA7 IUN
<br /> BUILDING/MECHANICAL 1 PLUMBING 1 SIGN /SPRINKLER 1 DEMOLITION
<br /> EVECITY OF EVERETT PERMIT SERVICESRETT Y 3200 CEDAR STREET,EVERETT,WA 98201
<br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits
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<br /> PROJECT SITE ADDRESS! 605 Hoyt Ave PROPERTY TAX#: 00458813000700
<br /> LOCAL f6..1561,4:.,,.retr vut'vr r. aI Zvi i Plal&LIWIvisiun Lui Nu, (auddi copy of long legal oeacnpttpn)
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<br /> OWNER NAME: Kelm, Amy TENANT BUSINESS NAME(Commercial)! n/a
<br /> OWNFR MCIi INC;ADDRESS: %TRI:ET 605 Hnyt Ave •
<br /> el, Everett ,, I/STATE WA zip 98201
<br /> OWNER PHONE: cOlr e rgizi_ -Z /.3 OWNER EMAIL: `-'f t
<br /> CONTRACTOR NAME: Washington Water Heaters •
<br /> CONTRACTOR ADDRESS: STREET 17162 116th Ave Se'
<br /> city Renton _ STATE WA ZIP 98058
<br /> CONTRACTOR PHONE: 4255-883-4871 CONTRACTOR EMAIL: wawahvac@gmail.cem
<br /> CONTRACTOR LICENSE LICENSEft(REQUIRED):WASHIP9800P CITY OF EVERETT BUSINESS UCENSE#(REQUIRED): Ubi449
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<br /> PRIMARY CONTACT: 0 OWNER E CONTRACTOR ❑OTHER(Please Specify)
<br /> CONTACT NAME: CONTACT PHONE: 425-883-4871
<br /> Daniels, Jac:di CONTACT EMAIL: wawahvac@gmail,com a
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<br /> Existing Use of Building: residential Contreot Price of Work;$ 1371
<br /> Proposed Use of Building: - Heat Source: Chas Electric IJOther
<br /> BUILDING USE: OSFR ❑Townhouse ❑Duplex EADU ❑Multi-Family-#Units: y, ECommercial EAccessor S ...k .-
<br /> T pe of Proect: ❑New EAddition EIRemodel ❑Repair OT.I. ESign ❑sprinkler ❑Demolition ❑Chan.e of U•,e ' 41.1t12A
<br /> DESCRIPTION OP WORK: ,
<br /> Remove& Replace 1 gas water heater • 4
<br /> ASSOCIATED BUILDING PERMIT#(if applicable):
<br /> - -
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<br /> Fixture List of Fixtures Fixture Fixture Fixture
<br /> evunt Count List of Fixtures Count List of Fixtures Count List of Fixtures
<br /> AIC-Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo
<br /> Boiler Gas Rana Clothes Washer SInk-Commeroial(3-comp,prep,floo
<br /> Clothes Dryer Heat Pump&Ductlees _ Dishwasher Sink-Residentialkitchen,bath,bar)
<br /> Duct System(Remode)L_ Refrigeration Drinking Fountain Sink-Utility,laundry,mop _
<br /> Exhaust Fans(Residential) 'Commercial Ventllatior Floor Drain '_ Toilet
<br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb _..Urinal
<br /> ,Exhaust Hood(Type II) 1 Water Heater Interceptor-Grease WasteNvater Piping Repair
<br /> Exhaust Hood(Residential) Wood Stove interceptop,SandiOtl Waterrservice(behind meter)
<br /> Forced Alr Systems Other: _ 'Medical Gas Water Valves or Fixtures
<br /> Gas Fireplace/insert/Log Roof Drains Water Heater
<br /> sPgjN KL R a SuPl R'E ,r00
<br /> t0,_t'AGM Sewage Ejector or Sump Pump Other:
<br /> Water oppression System o o Head$
<br /> Chemical Suppression System No.of Heads — -
<br /> ACKNOWLEDGEMENT:I have reviewed this application and conflmn the information contained herein is true end correct,Work done pursuant to this permit must comply with
<br /> current federal,state,end local law. The granting of a permit only authorizes approved work end no deviations therefrom.Deviations must first be authorized in writing from the
<br /> Building Official before being authorized under any circu stance.I em the owner,on I am authorized by the owner of this property to perform the work for which appjlcation is mar
<br /> and I comply with the State Contr. .rs Law 18.27 RC:nd 256.200A WAC.
<br /> City of CvEn&P Of 1pial Use Only
<br /> A 111/ t\--16( tPr� #Irir '* �'D�l DD
<br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018)
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