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Nov 14 2019 10:43AM Washington Wa -Heaters 8663757454 pa= <br /> NMI <br /> IZI PERMIT APPLICATION <br /> BUILDING 1 MECHANICAL I PLUMBING I SiGN I SPRINKLER/DEMOLITION <br /> EVERETT 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)evereltepsGeverettwa.gov 1 www.everettwa.gov/permits <br /> (Bluelor BIM*Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:11325 19th Ave SE, Unit B105 <br /> LEGAL for new construction: Short PiBt/6ubdiviaionPROPERTY TAX#:00826200210500 <br /> Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Rebecca Go <br /> TENANT BUSINESS NAME(Commercial): n/a <br /> OWNER MAILING ADDRESS: STREET 11325 19th Ave SE, Unit B105 <br /> ow Everett srnTE WA zIP 98208 <br /> OWNER PHONE: 'OWNER EMAIL:N/A <br /> CONTRACTOR NAME:WASHINGTON WATER HEATERS <br /> CONTRACTOR ADDRESS: STREET 17152 116TH AVE SE <br /> art RENTON sr►rE WA <br /> CONTRACTOR PHONE;425$83-4871 z�P 98058 <br /> 'CONTRACTOR EMAIL:WAWAHVAC,@GMAIL.COM <br /> CONTRACTOR LICENSE#(REQUIRED):WASHII*9800P (CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 053449 <br /> PRIMARY CONTACT: DOWNER 21 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-8834871 <br /> ,JACCI DANIELS CONTACT EMAIL:WAWAHVAC@GMAIL.COM <br /> BUILDING INFORMATION <br /> Existing Use of Building:RESIDENTAIL Contract Price of Work: 1300 <br /> Proposed Ilan of Building: lHeat Source: LJGas <br /> Electric ClOther� <br /> BUILDING USE: IOSFR I:Townhouse ❑Duplex ❑ADU (Multi-Family-#Units:1 ❑Commercial ❑Accessory Structure <br /> T of Pro'ect :New DAddltIon °Remodel ❑Re air DTI. ❑Sin ❑S rinkler ❑Demolition ❑Chane of Use <br /> DESCRIPTION OF WORK: REMOVE&REPLACE 1 ELECT HOU WATER HEATER(S) <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Count <br /> List of Fixtures "xi" MUM <br /> Count count List of Fixtures List of Fixtures Fixture <br /> Count Count List of Fixtures <br /> NC—Air Handling Units Uas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler <br /> Bootees D er _�a Rance Clothes Waal-LerstnK-uommercaal(3-comp,prep,flaor) <br /> ry Heat Pump&Ductless Dishwasher <br /> Duct System(Remodel) Refrigeration Sink-Residential ,mopop,bath,bar} <br /> Exhaust Fans(Residential) Drinking Fountain TileUtility,laundry, <br /> Commercial Ventilatior Floor Drain Toilet <br /> ---.—_ Exhaust Hood(Type I) (_Not Heat/AC system) Hose Bibb <br /> Exhaust Hood(Type II) I 'Water HeaterUrinal <br /> Exhaust Hood�ReWood Stove aldontia� Interceptor-Grease ste/Waler Piping Repair <br /> Interceptor-Sand/Oil afar Service(behind meter)._ <br /> Forced Alr Systems Othar• Medical Oae <br /> Gas Fireplace/insert/LogWater Valves or Fixtures <br /> Roof Drains Water Heater <br /> SPRINKLER I SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> star oppression System No,of Heads <br /> Chemical S�uppres&on System I INo.afTieads _____ <br /> ^ACKNOWLEDGEMENT.I h111114 nvie.wrrthie apprieeiion and eonrnm the;nw,,0( txmtatneo nerenna and erect.Work done pursuent to this permit must rnmply with <br /> current federal,state.and local law The.°ranting of n •..-11 a any e„thonkov oporwracl miffs ana no aeviations therefrom,Deviations must first be authorized In writing from the <br /> Building Official before being authorized under any ,tance.I am the owner,ori am authorized bythe owner of this <br /> and I rgmply with the State Cenlraalero L. • lO.Rr int2aa,[V M YVA(i AIV°ertV t0tTeriolm fhn wrvl few uhleh application 10 uredo, <br /> f'• , i PEM C‘U . ' C (0' 1 <br /> ,' it 1/ -1 City of Everett Official Use t)ny <br /> OwtIer/Authorized Agent Sign ure <br /> 1/4./ Date (Revised 10/10Y2018) <br />