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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN /SPRINKLER/DEMOLITION <br /> -E V <br /> G�( CITY OF EVERETT PERMIT SERVICES <br /> 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 /> (Sloe or BlaCk Ink Only,.Please) PROJECT SiTR INFORMATION; <br /> PROJECT SITE ADDRESS: 707 Crown Dr PROPERTY TAX#: 00606400001000 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION: <br /> OWNER NAME: Susan Quick TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 707 Crown Dr <br /> CITY Everett STATE Wa ZAP 98203 <br /> OWNER PHONE: 425-252-1423 OWNER EMAIL: <br /> CONTRACTOR NAME: Bob's Heating and Air Conditioning <br /> CONTRACTOR ADDRESS: STREET 14148 NE 190th St <br /> carr Woodinville STATE WA ZIP 98072 <br /> CONTRACTOR PHONE: 800-840-3346 CONTRACTOR EMAIL: Ihoneycutt@bobsheating.com <br /> CONTRACTOR LICENSE#(REQUIRED): BOBSHHA853NQ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED: 54967 <br /> PRIMARY CONTACT: 0 OWNER ®CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: Lucinda Honeycutt CONTACT PHONE:206-378-6735 <br /> CONTACT EMAIL: Ihoneycutt@bobsheating.com <br /> BUILDING INFORMATIOItl <br /> Existing Use of Building: SFR Contract Price of Work:$ 2900.00 <br /> Proposed Use of Building: SER Heat Source: ❑Gas El Electric ❑Other <br /> BUILDING USE: ISFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units:_ ❑Commercial ❑Accessory Structure <br /> Type of Project: CI New ❑Addition ❑Remodel NRepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: like for like furnace replacement <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL.PEIGNT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures count 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 /> Boller 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 Ventilatior Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type Il) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> 1 Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER i 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 1 am authorized by the owner of this property to perform the work for which application is made, <br /> and/comply wite State Contractors Law 18.27 RCW end 296.200A WAC. <br /> / I City of Everett Official Use Only <br /> PEM <br /> t <br /> 1 \ \O ��� <br /> �' <br /> Owner/Au horized Agent Signature Date (Revised 4/15/2019 <br />