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0 PERMIT APPLICATIO* <br /> BUILDING I MECHANICAL I PLUMBING I SIGN 1 SPRINKLER / DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov i www.everetlwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:4827 Glenhaven DrPERTY TAX#:00456700004500 <br /> PRO <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Patricia AymOnd TENANT NAME(if Commercial): <br /> OWNER MAILING ADDRESS: SIIEET4827 Glenhaven Dr <br /> CITY Everett STATF WA L,F 98203 <br /> OWNER PHONE:425-530-6855 pyyNER EMAIL:paymond49@gmail.com <br /> CONTRACTOR NAME:WASHINGTON ENERGY SERVICES <br /> CONTRACTOR ADDRESS: STaEET 3909 196TH ST SW <br /> CITY LYNNWOOD STATE WA 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: ❑ OWNER OCONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-378-6927 <br /> Ethan O n a t CONTACT EMAIL:eonat@washingtonenergy.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building; Contract Price of Work:$9941.20 <br /> Proposed Use of Builth Heat Source: ❑Gas ❑Electric []Other--.... <br /> BuildingType: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industria <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.L. ❑Sign ❑S rinkler ❑Demolition ❑Chan e of Use <br /> DESCRIPTION OF WORK: <br /> Replacing existing gas furnace with like for like. Installing an air <br /> conditioner. <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 List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Punip 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 /> Gas Fireplace Wood Stove Kitchen Sink& Disposal lGrease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hooku s 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 /> Nurn>ier of Heads I L I i <br /> t::FCNOIVt_EUGFM fJT i have feviewed this .application and confirm the intooriat,on contained herein is true and correct Work.dune pursuent to this permif must c rnpiy:,villi <br /> current iederaf.state,and local law The granting of a permit only authorizes approved work and no deviations theretrom beviations must nisi be outhonzod m writing trom the <br /> Building Official before being authorized under any ctrcumstance t am the owner,or t an'authorized by the owner of this property to perforin the work for vvhtch appticabon is made, <br /> and 1 comply with the State.Contractors Law 18 27 RCN end 296 200A AIAG <br /> City C1 Everett Oft.181 Use CMly <br /> PERMIT# I _ <br /> r 05/17/16 I p l l <br /> Owner/Authorized Agent Sign tui Date (R:vised I01l:,-`20?5) <br />