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� <br />• <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM <br />ADDRESS: 2 2 1 H H1. h 1 and Ave PROPERTY TAX # PERMIT �i , <br />g 00591000202300 ��1�1 �1; I I.Fi/� <br />for new construction: Short Plat/subdivision <br />Steve Heindl <br />2218 Higland Ave <br />Lot No. (attach copy of long legal description) <br />Phonele-mail 2 0 6— 617 — 6 2 2 8 <br />ci�vistaca2io Everett, Wa 98021 <br />�NT: _ Owner _ Owner's Agent X Contractor _ Contractor's Agent _ Tenant (must pro�ida a ietcer or oo�ser,t rror„ ma owr�Br to do work in tne spaca� <br />1CTOR Bobs Heatin and A/C L& I Lic. # BOBSHHA853NQ COE Bus. Lic. # 41388 <br />14148 NE 190th St Woodinville, Wa 98072 Phone/Email 800-840-3346 <br />BUSINESS NAME CONTACT FOR PERMIT Lucinda Honeycutt <br />BUILDING PERMIT APPLICATION <br />�/E-mail 206-378-6735 <br />TRACT PRICE OF WORK �4000.00 <br />Existing Use of Building HEAT SOURCE: <br />Proposed Use of Building Gas_ Electric other <br />Building type: X Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of project: New Addition Remodel Repair _ T.I. 5ign _Sprinkler _Demolition Change of Use <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />like for like furnace <br />MECHANICAL PERMIT APPLICATION <br />of Project: _New _Addn _Alteration _Repair <br />Show Num6er (#) of flxtures <br />A/C — air handling units <br />Forced air systems <br />Gas ipin <br />Water heater <br />Gas fire lace <br />Gas ran e <br />Clothes d er <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refri eration <br />Woodstove <br />Ductin <br />Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />PLUMBING PERMIT APPLICATION <br />Type of ProJect: _New _Addn _Alteratlon _Repair <br />Show Number /#1 of Sntures <br />Bathtub <br />Lavatory (wash <br />Shower <br />Kitchen sink & c <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/be <br />Backflow prevei <br />Urinal <br />Drinking Founta <br />Floor drain <br />Grease trap <br />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />1 hereby certify Ihat 1 have read and examined this application and know the same lo be true and cortect. All provisions of laws and ordinances goveming this lype of work will be complied <br />with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction <br />That I am auth ized by the owner of is operty to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />� � <br />� � � c.�, , 11 /24/2015 � �� �.,-� <br />� � <br />Ow /Authorized Agent Si nature Date (Revised 6/2012J <br />