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• 411 <br /> PERMIT APPLICATION <br /> 12 <br /> BUILDING /MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa,gov 1 www.everettwa.gov/permits <br /> Moo or ORk Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:3017 44th St. SE PROPERTY TAX#:01 161300006200 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attac.n copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: John OlceSe/Holland Henderson TENANT BUSINESS NAME(Commercial); <br /> OWNER MAILING ADDRESS: STREET same as jobsite <br /> CITY STATE ZIP <br /> OWNER PHONE: John -206-909-1439 OWNER EMAIL: hollandh13@gmail.com <br /> CONTRACTOR NAME: Right On Heating & Sheet Metal, Inc. <br /> CONTRACTOR ADDRESS: sTREE PO Box 758 <br /> crry Lake Stevens STATE Wa. Zip 98258 <br /> CONTRACTOR PHONE: 425-335-4207 CONTRACTOR EMAIL: rightonheating@frontier.com <br /> CONTRACTOR LICENSE#(REQUIRED): RIGHTHM988CM CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 39646 <br /> PRIMARY CONTACT: ❑OWNER []CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-335-4207 <br /> Jeanie Graves CONTACT EMAIL: rightonheating@frontier.com <br /> BUILDING INFORMATION <br /> Existing Use of Building: SFR Contract Price of Work:$5388 <br /> Proposed Use of Building: Heat Source: OGas ❑Electric ❑Other <br /> BUILDING USE: I]SFR ❑Townhouse EDuplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ClAccessory Structure <br /> Type of Project: ENew ❑Addition ❑Remodel ERepair ❑✓T.I. ❑Sign ❑Sprinkler ❑Demolition ❑change of Use <br /> DESCRIPTION OF WORK: <br /> Adding AC and coil, tying in to existing furnace: York, 3 Ton, 14 SEER <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT 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 /> 1 NC—Air Handling Units Gas Piping Backfiow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3comp,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 Ventilatlor Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Dra:ns Water Heater <br /> SPRINKLER I SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other. <br /> Water Suppression System No.of Heads _ <br /> Chemical Suppression System No,of Heads <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein Is true and correct.Work done pursuant fo 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 I 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 <br /> ?ERMIT# 0 lgo7' D 1--1 <br /> •.74CA-44-4,--1-4-1 <br /> ?- g-C9 <br /> Ow r uthorized Agent Signature Date (Revised 10/10/2018) <br />