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• PERMIT APPLICATION • <br /> BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> OL 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 2830 CEDAR STREET EVERETT WA 98201 PROPERTY TAX#: 00593665700101 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: SHIN KYUNG H& HYUN J TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 73013TH WAY <br /> CITY EDMONDS STATE VVA ZIP 98020 <br /> OWNER PHONE: UNKNOWN OWNER EMAIL: UNKNOWN <br /> CONTRACTOR NAME: GASLINE MECHANICAL, INC. <br /> CONTRACTOR ADDRESS: STREET PO BOX 1108 <br /> CITY WOODINVILLE STATE WA ZIP 98072-1108 <br /> CONTRACTOR PHONE: 425-487-2359 CONTRACTOR EMAIL: DNEUBAUER@GASLINEMECHANICAL.COM <br /> CONTRACTOR LICENSE#(REQUIRED): GASLIM1066CD CITY OF EVERETT BUSINESS I'GENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑ OWNER 15a CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: Darren Neubauer CONTACT PHONE: 206-786-3000 <br /> CONTACT EMAIL: dneubauer@gaslinemechanical.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Multifamily dwellings Contract Price of Work: $ 2500.00 <br /> Proposed Use of Building: same Heat Source: ®Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex MMulti-Family-#of Units: 5 ❑Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition []Remodel ®Repair ❑T.l. []Sign []Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Replace 1 natural draft gas console heater(vented to chimney)with a new 17000 BTU direct vent console heater. <br /> (location moved to outside wall as chimney was not reusable per city of Everett inspector pre-inspection). Reroute existin <br /> gas piping system to accommodate appliacnce(s)location change. <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 /> Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures List of Fixtures <br /> 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 Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> 1 Gas Fireplace Wood Stove Kitchen Sink&Disposal lGrease 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(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER I SUPPRESSION SYSTEM <br /> NA I Number of Heads none <br /> ACKNOWLEDGEMENT l 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 I am authorized by the owner of this property to perform the work for which application is made, <br /> and 1 comply with the State Contractors Law 18 27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT#�� ( � <br /> 6 10, 2016 <br /> Owner/Authorized Agent Signature Date (Revised 5/20/2016) <br />