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mom PERMIT APPLICATION <br /> Ire <br /> BUILDING /MECHANICAL/ PLUMBING/SIGN /SPRINKLER/DEMOLITION <br /> EC c R v T^Y CITY OF EVERETT PERMIT SERVICES <br /> V I 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 <br /> (Blue or Black Ink Onl Please PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 1414 Ttereve Dr PROPERTY TAX#: 00392800900101 <br /> • <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION' <br /> OWNER NAME: Suzanne Gngg TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 1414 Ttereve Dr <br /> cry Everett STATE WA ZIP 98072 <br /> OWNER PHONE: (425)789-1890 OWNER EMAIL: <br /> CONTRACTOR NAME: Bob's Heating and Air Conditioning <br /> CONTRACTOR ADDRESS: STREET 14148 NE 190th St <br /> CITY Woodinville STATE WA ZIP 98072 <br /> CONTRACTOR PHONE: 800-840-3346 !CONTRACTOR EMAIL: loneycutt@bobsheating.com <br /> CONTRACTOR LICENSE#(REQUIRED): BOBSHHA853NQ !CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 54967 <br /> PRIMARY CONTACT: IJ OWNER fil CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: Lucinda Honeycutt CONTACT PHONE:206-378-6735 <br /> CONTACT EMAIL: Ioneycutt@bobsheating.com <br /> BUILDING INFORMATION <br /> Existin• Use of Building: Contract Price of Work: 6300.00 <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ©Other <br /> BUILDING USE: C SFR I:Townhouse DDu.lex DADU 7Mult€-Farm) -#Units: DCornmercial OAccessor Structure <br /> T e of Project: liNew DAddit on 7Remodet DRe air OT:,i. C]Si h D5 rltiklor ODemolltion DChan e of Use <br /> DESCRIPTION OF WORK: Retrofit air conditioner install <br /> ASSOCIATED BUILDINGPERMIT# if a. :licable <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture List of Fixtures Fixture Fixture Fixture <br /> Count Count list of Fixtures Count List of Fixtures Count List of Fixtures <br /> 1 A/C—Air Handling Units Gas PIpInn 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(kltchen,bath,bar) <br /> _______,Duct System(Remodel) Refrigeration Drinking Fountain Slnk-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventllatlor 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/OII Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> W_ rateSSupPpression N <br /> RINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> System '` <br /> o,of Heads <br /> Chemical Suppression System No.of Heeds <br /> ACKNOWLEDGEMENT:/have reviewed this application end 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 em the owner,ort am authorized by the owner of this property to perform the work for which application is made, <br /> end!rompiy with the State Contractors Law 18.27 RCW and 296._2QG4-WAC. <br /> Guy of Everett Official Use Only <br /> PE MI # <br /> 4 8/2/2019 o o J eon1 <br /> Own orauihorized gent Signature Date f,e.4se#AM5J2019 <br />