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PERMIT APPLICATIO
<br />BUILDIN�IIECHANICAL / PLUMBING ! SIG RINKLER I DEMOLITION
<br />CITY OF EVERETT PERMIT SERVICES
<br />32Q0 CEDAR STREET, EVERETT, WA 98201
<br />(P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa,gov/permits
<br />�F�����'T SITE �AI�i�RiV1�;T��1t,1
<br />PROJECT SITE A��R�SS: 1304 Maple St ����'���� �A� #' 00438725803100
<br />LEGAL for new construciion: 5hort PlaUsubdivis+an Lot No. (attach coov of lona Ieaai descriotion)
<br />�
<br />owNER NAnnE: Thomas Kudet-
<br />OWNER MAILING ADDRESS: sTReET 1304 Maple St
<br />CITY Everett
<br />OWNER PHONE:425-252-4027
<br />�irc,Rrc�x►n �r �vrw
<br />TENANT NAME ttf Commercial'
<br />EMAIL:
<br />STATE v�A
<br />.,� 98036
<br />CONrRACTOR NAME;WASHINGTON ENERGY SERVICES
<br />CONTRACTOR ADDRESS: srReer 3909 196TH ST SW
<br />�,n LYNNWOOD s7�,TE WA Z,P 98036
<br />CONTRACTOR PHONE: 206-378-6927 �pt��t�q��Q� EMA��: eonat@washingtonenegy.com
<br />CONTRACTOR LICEN5E #{REQUIRED): WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): �J4773
<br />PRIMARY CONTACT: ❑ OWNER ��C}NTRACTOR O OTHER (Please Specify)
<br />CONTACT NAME: CONTACT PHONE: 206-378-6927
<br />Eth a n 0 n c�' t CONTACT EMAIL: eonat@washingtonenergy.com
<br />�������� �E���� ����.���s���
<br />Existin� Use of Builc�€€tc,,�: Contract Price of Work: $ 1200
<br />l��oposed Use of Bui[ding: Heat Source: ❑Gas ❑Electric ❑Other
<br />G�Eiilclinc. Typ�: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-famil -� of Units: ❑Commercial
<br />7y��e of F�ro �c;t: ❑New ❑Addition ORemodel ❑R�p�ir ❑T.I. Ll�iyn CIS�rinkler ❑Demolition ❑Chan�
<br />DESCRIPTION OF WORK:
<br />Replacing the gas water heater in the kitchen.
<br />ASSOCIATED BUILDING PERMIT # {it
<br />MECHANtCAI. F`ERIVlIT .#�PI�L.IC�T1�7M
<br />Type of Project: New _ Addn _Alteration _Repair
<br />Fixtures List of Fixtures Fixtu es �-+st of Fixtures
<br />A/C —Air Handling Units Heat Pump
<br />Forced Air S stems Unit Heater
<br />Gas Pipin Boiler
<br />• Water Heater Refri eration
<br />Gas Fireplace Wood Stove
<br />Clothes Dryer H
<br />Range Hood
<br />Exhaus# Fan
<br />er:
<br />! SUPP�����ON SYSTEM
<br />❑Industrial
<br />of Use
<br />� Pi.UMBIN� PE��UliT APPLICAT�ON � � �
<br />Type of ProJect: _New _Addn _Alteration _Repair
<br /># of List of Fixtures # ot List of Fixtures
<br />Fixtures Fixtures
<br />Toilet Backflow Preventer {Inside Bldg}
<br />Bathtub Urinal
<br />Lavatory (Wash Basin) Drinking Fountain
<br />Shower Floor Drain
<br />Kitchen Sink & Disposal Grease Trap
<br />Dishwasher Roof Drains
<br />Clothes Washer Medical Gas
<br />Water Heater Other:
<br />Sink {ServicelBar/Mopletc.} Other:
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