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11818 25TH AVE SE 2020-02-24
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11818 25TH AVE SE 2020-02-24
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Last modified
2/24/2020 3:11:17 PM
Creation date
2/24/2020 3:11:01 PM
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Address Document
Street Name
25TH AVE SE
Street Number
11818
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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN I SPRINKLER I DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> f 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 11818 25th AVE SE PROPERTY TAX#: 00927400003200 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Patty Gillman TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 11818 25th Ave SE <br /> CITY Everett _.. STATE Wa ZIP 98208 <br /> OWNER PHONE: 206-399-1399 OWNER EMAIL: <br /> CONTRACTOR NAME: Bobs Heating <br /> CONTRACTOR ADDRESS: STREET 14148 NE 190th St <br /> my Woodinville STATE Wa zip 98072 <br /> CONTRACTOR PHONE: 800-840-3346 CONTRACTOR EMAIL: lhoneycutt@bobsheating. com <br /> CONTRACTOR LICENSE#(REQUIRED:BOBS HHA8 5 3NQ CRY OF EVERETT BUSINESS LICENSE#(REQUIRED): 054967 <br /> PRIMARY CONTACT: 0 OWNER CS CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: Lucinda Honeycutt CONTACT PHONE: 206-378-6735 <br /> CONTACT EMAIL: lhoneycutt@bobsheating com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: SFR Contract Price of Work:$ 10,500.00 <br /> Proposed Use of Building: SFR Heat Source: C$Gas ❑Electric ❑Other, <br /> Building Type: ❑SFR-Detached CSSFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial Ellndustrial <br /> Type of Project: ❑New ❑Addition ❑Remodel NRepair ❑T,l. EISign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> like for like furnace replacement and add AC to hvac system <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_ Addn _Alteration _Repair Type of Project: New _,Addn Alteration _.,Repair <br /> #of #of #of #of <br /> List of Fixtures List of Fixtures List of Fixtures List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> 1 NC-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> 1 Forced AirSystems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace ;Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups' Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Serylce/Bar/Mopletc) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> I Number of Heads <br /> ACKNOWLEDGEMENT:I 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 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 298.200A WAG. <br /> City of Everett Official Use Only <br /> � PE' 1 • <br /> Ai 5/28/19 • �� _ gu <br /> Ow - /Authorized Agent Signature Date (Revised 512' $ 6). <br />
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