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0 PERMIT APPLICATIOP <br />BUILDING I MECHANICAL I PLUMBING / SIGN / SPRINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(Pt 425-257-8810 1 FAX 425-257-8857 1 1E) everettopsQe,vorettwa.qov I www.everettwa.gov/permits <br />(Plub� qr 1$11ackli* <br />2 <br />PROPERTY TAX #: DO 6�/ 74. 00-3 00 <br />PROJECT SITE ADDRESS: 105 r6 3 r zj:�4L <br />LEGAL for now construction: Short Plat/subdivision—.. Lot No, (attach copy of long legal description) <br />702 FOR <br />OWNER NAME: TENANT NAME (If Commercial). <br />OWNER MAILING ADDRESS: %-J STREET '5 oa 'a>'a>'r <br />CiTy G Qaur t, tAi- ST.Te Zip -T 2.0­4�' <br />OWNER PHONE: t 02,ktgq JOWNER EMAIL: <br />CONTRACTOR NAME: Brennan Heating <br />CONTRACTOR ADDRESS: STRYTT 4601 S 134th PI <br />Wy Seattle STATE Wa 98168 <br />CONTRACTOR PHONE: 206-248-7900 <br />ICONTRACTOR EMAIL: Jaimie@brennanheating.com <br />CONTRACTOR LICENSE #(REQUIRED): BRENNHA971R9 <br />121,11Y Of EVERETT BUSINESS LICENSE #(REQUIRED): 028230 <br />.. ... .... .... ... <br />PRIMARY CONTACT: 0OWNER PCONTRACTOR 0 OTHER (Please Specify) <br />CONTACT NAME: <br />Jaimie How <br />I CONTACT PHONE: 206-248-7900 <br />ICONTACT EMAIL: Jaimie@brennanheating.com <br />TR IFT �04510' '77' <br />Existing Use of Building: lContract Price of Work: $ <br />Proposed Use of Building- "Heat Source: E'lGas 13E(e'ctric 00ther <br />Building Type: CISFR-Detached OSFR-Attached ODuplex OMulti-Family-# of Units; OCornmercial [Industrial <br />TypeofPro ect: EINew OAddition ©Remodel ORepair 13T.I. ClSign Sprinkler r ODemolition ©Change of Use <br />DESCRIPTION OF WORK: <br />IASSOCIATED BUILDING PERMIT # (if applicable): <br />907APOLTEAM" P <br />IF <br />Type of Project: _New — Addn —Alteration —Repair <br />Type of Project: —Now —Addn —Alteration _Repair <br />#of <br />Fixtures <br />List of Fixtures <br /># of <br />Fixtures <br />List of Fixtures <br />0 of <br />Fixtures <br />List of Fixtures <br /># of <br />Fixtures <br />List of Fixtures <br />A/C — Air Handling Units <br />Heat Pump <br />Toilet <br />Backflow Preventer (inside Bldg) <br />Forced Air Systems <br />Unit Heater <br />Bathtub <br />Urinal <br />Gas Pipinq <br />Boller <br />Lavatory (Wash Basin) <br />Drinking Fountain <br />Water Heater <br />Refrigeration <br />Shower <br />Floor Drain <br />Gas Fireplace <br />Wood Stove <br />Kitchen Sink & Disposal <br />Grease Trap <br />Gas Range <br />Ducting <br />Dishwasher <br />Roof Drains <br />Clothes Dryer Hookups <br />Other: <br />Clothes Washer <br />Medical Gas <br />Range Hood <br />Water Heater <br />Other: <br />Exhaust Fan <br />Sink (Service/Sarl]Moptotc.) <br />Other: <br />JSPRIIINKLOR <br />SU . Pik, <br />Mimi, <br />Chemical or water I No. of Heads <br />ACKNOWLEDGEMENT: I have roviewed this application and confirm the information contained herein is true and corredWork done pursuant to Ibis permit must comply with <br />cu"'Onl federat, state, and local law, The granting of a permit only authozos approved Work and no deviations therefrom. Deviations must first be authorized in writing from the <br />BuddkigOlfil I before being authorized under any circumstance. I am the owner, orl am authorlwd sty the owner of this property topotter m the work for which application is made; <br />and ic ply w h the Slate Contractors Low 18,27 RCv/ and 296.200A WAC. <br />City ot Everelf Official Use Only <br />;Ignatura 016) <br />