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BUILDING I MECHANICAL/PLUMBING CATION <br /> I SPRINKLER/ DEMOLITION <br /> •' OF <br /> CITY EVERETT PERMIT SERVICES <br /> siiiirW�; <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa,gov I www.everettwa.gov/permits <br /> PROJECT ITE INFORMATION , ..... . <br /> PROJECT SITE ADDRESS:802 Alpine Dr PROPERTY TAX#:00440500000700 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT:INFORMATION <br /> OWNER NAME: Allison Holberg TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET$Q2 Alpine Dr <br /> CITY Everett STATE WA ZIP 98203 <br /> OWNER PHONE:425-252-7878 OWNER EMAIL: <br /> CONTRACTOR NAME:WASHINGTON ENERGY SERVICES <br /> CONTRACTOR ADDRESS: STREET 3909 196TH ST SW <br /> CITY LYNNWOOD STATE WA ZIP 98036 <br /> CONTRACTOR PHONE:206-378-6927 CONTRACTOR EMAIL:eonat@washingtonenegy.com <br /> CONTRACTOR LICENSE#(REQUIRED):WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 54773 <br /> PRIMARY CONTACT: 0 OWNER j OI TRACTOR C;)OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:2Q6-378-6927 <br /> Ethan O n at CONTACT EMAIL:"eonat ct washingtonenergy.corn <br /> -^, �F t IA.T"hEDI 7iR+41x+::" 1011ft01 Mr10414 # tea C Kahl vu;'Z N0. <br /> Existing Use of Building: Contract Price of Work:$ <br /> Proposed Use of Building: Heat Source. ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached DDupli x DMuitl-Famity-#of Units: _ ❑Commercial ❑Industrial <br /> Ty.- of Praect: ONew ❑Addition ❑Remodel DRs.air DT.I. D i.n ❑Sprinkler ❑Demolition DChanoe of Use <br /> DESCRIPTION OF WORK: <br /> Gas water heater replacement <br /> ASSOCIATED BUILDING PERMIT#(if applicable):, <br /> MECHANICAL-:PERMIT APPLICATION; ': , .., - ,.,:PL.UME4140 PLUMBINGPERMIT PPIJOATIO1 - ' <br /> Type of Project: _New Addn Alteration _-_Repair Type of Project: __New _Addn _Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #°f List of Fixtures #°f List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units , "Heat Pump "'' Toilet' Backflow Preventer(Inside Bldg) <br /> Forced Air Systems ' — Unit Heater Bathtub" Urinal <br /> Gas Piping Boiler LavatQ'rx(Wash Basin) _ Drinking Fountain <br /> I 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 1 Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER I SUPPRESSION-SYSTEM' <br /> Number of Heads <br /> ACKNOWLEDGEMENT t have reviewed this application and confirm the information contained herein is true and correct,Work clone 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 circumstanceI am the owner,or i am authorized by the owner of this property to perform the work for which application is made, <br /> a8t11 (:mply,,, ^e State C,Qntfacidic Law 18 21 PEW and 296 200A WAG <br /> CIty nt F ve.rett Official Use Only <br /> PERMIT" t(90 6 <br /> 03/30/2016 <br /> Owner/Authorized Agent igft erre Dale-. (Revised 10/12/2015) <br />