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PERMIT APPLICATION <br /> BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER / DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET.EVERETT,WA 98201 <br /> F1425-257-H'0 OLTF.AX 025-257-8357 .E e erecter verettwa gov I e,ry,' e. ra.,: a _ <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 2502 Chestnut Dr Everett, WA PROPERTY TAX#: 00467300301700 <br /> LEGAL new conntr,.ct ,.s _ _ v t ono lega des- <br /> CONTACT INFORMATION <br /> OWNER NAME: David Fish TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: Bret - 2502 Chestnut Dr <br /> Everett _c.-7-7. WA _= 98201 <br /> OWNER PHONE: 360-421-8737 OWNER EMAIL: daddyofthesefish@gmail.com <br /> CONTRACTOR NAME Smart Energy Today <br /> CONTRACTOR ADDRESS: C_ 2500 Mottman Rd SW <br /> c m r Everett WA =- 98512 <br /> CONTRACTOR PHONE: 360-637-4343 CONTRACTOR EMAIL: jenni.b@smartenergytoday.net <br /> CONTRACTOR LICENSE#REQLi cET : SMARTET869RJ CITY OF EVERETT BUSINESS LICENSE*(REOUIRED): 052463 <br /> PRIMARY CONTACT: 0 i r.NER la CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 360-637-4343 ext 2224 <br /> Jenni Blankenship CONTACT EMAIL: jenni.bna,smartenergytoday.net <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of B; clog: Single Family Residence Contract Price of Work: S 3500 <br /> Proposed Use of Building: Home Heat Source: OGas ❑Electric Daher <br /> Building Type: ❑SFR-Detached 7SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> (cj e l32- yloc2_,d2 -tee <br /> ASSOCIATED BUILDING PERMIT#,+fapp <br /> 'ca let. <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 #°f List of Fixtures #of List of Fixtures #°f List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A:C—Air Handling Units -teat Pump Toilet Backflow Preventer Inside Bldg: <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration "r c F.00r Drain <br /> Gas Fireplace Wood Stove Kitchen Snk&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other.. Clothes Washer Medical Gas <br /> Range Hood Water Heater Otter: <br /> Exhaust Fan Sink(ServiceiBari(vlopietc.) Otter. <br /> SPRINKLER( SUPPRESSION SYSTEM <br /> Chemical or Water No.of Heads <br /> ACKNOWLEDGEMENT:t 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 1 am 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 /> Usr,4.11101.1111 r — 5e O# <br /> Owner/Authorized Agent Signature Date (Revised 3f2 16) <br />