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1011111
<br /> 1121 PERMIT APPLICATIOI—
<br /> SUILDING/MECHANICAL/PLUMBING i SIGN /SPRINKLER I 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 1(E)everetteps©everettwa.gov I www.everettwa.gov/permits
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<br /> PROJECT SITE ADDRESS: 4603 Riverfront Blvd. PROPERTY TAX#
<br /> LEGAL for new construction: Short Plat/subdivision Overlook at Riverfront Lot No.310 (attach copy of long legal description)
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<br /> OWNER NAME: Luis Valieniila TENANT BUSINESS NAME(Commercial):
<br /> OWNER MAILING ADDRESS: STREET4603 Riverfront Blvd.
<br /> crry Everett STATE Wa ZiP 98203
<br /> OWNER PHONE:717-475-58550 OWNER MAIL:irv105@gmail.com
<br /> CONTRACTOR NAME: Right On Heating& Sheet Metal, Inc.
<br /> CONTRACTOR ADDRESS: STREET PO Box 758-2213 131st Ave. NE
<br /> cnr Lake Stevens STATE Wa ziP 98258
<br /> CONTRACTOR PHONE: 425-335-4207 CONTRACTOR EMAIL: rightonheating@frontier.com
<br /> CONTRACTOR LICENSE#(REQUIRED): RIGHTHM988CM CITYOF EVERETT BUSINESS UCENSE#(REQUIRED): 39646
<br /> PRIMARY CONTACT: ❑OWNER CI CONTRACTOR 0 OTHER(Please Specify)
<br /> CONTACT NAME: CONTACT PHONE: 425-335-4207
<br /> Jeanie Graves CONTACT EMAIL: rightonheating@frontier.com
<br /> Existing Use of Building: Contract Price of Work:$5250.
<br /> Proposed Use of Building: Heat Source: 17Gas CDElectric DOther
<br /> BUILDING USE; CISFR ❑Townhouse ❑Duplex OADU OMulti-Family-#Units: I:Commerciai DAccessory Structure
<br /> Type of Project: ❑New addition ❑Remodel ❑Repair OT.I. Osign OSprinkler DDemoiition ❑Change of Use
<br /> DESCRIPTION OF WORK: Adding AC and coil;tying in to existing furnace. York-YCE36B22S (3 Ton, 14 SEER)
<br /> ASSOCIATED a8 BUILDING PERMIT#(if applicable):
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<br /> List of Fixtures Fixture F{xture Fixture
<br /> count 1 Count List of Fixtures
<br /> Count List of FixturesGGurrt G{st of Fixtures
<br /> A/C—Air Handling Units Gas Piping Backflow FPreventer(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(kitchen,bath,bar)
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<br /> Duct System Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop
<br /> Exhaust Fans(Residential) Commercial Ventilatio 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/CII 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 /> Iii_ 114_�.�1 T .R 0I� ��tilititteri Sewage Ejector or Sump Pump Other
<br /> Water Suppression System 1 No.of Heads
<br /> Chemical Suppression System No.of Heads
<br /> ACKNOWLEDGEMENT:f 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!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
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<br /> o'n=rlAuthorized Agent Signature Date (Revised 10110/2018)
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