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• PERMIT APPLICATION•
<br />BUILDING ! MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION
<br />CITY OF EVERETT PERMIT SERVICES
<br />3200 CEDAR STREET, EVERETT, WA 98201
<br />(Pl 425-257-8810 � FAX 425-257-8857 j(E} evereiteps@everettwa.gov � www.everettwa gov(permits
<br />��n ��,r� �e°rc ��,€�r���UN�'�[�AR�
<br />PRc�JEG7 SiTE ADDRESS: 5725 West Dr
<br />LEGAL for new construction: Short f�(at��uk�ciivisia
<br />OWNER NAME: �2ffy HaV2flat'
<br />OWNER MAILING ADDRESS: sTREeT 5725 West D�
<br />�„Y Everett
<br />OWNER PHONE:425-478-0786
<br />coNTRACTOR NAME:�IASHINGTON ENERGY SERVICE
<br />CONTRACTOR ADDRESS: sTReeT 3909 196TH ST SW
<br />�,TY LYNNWOOD
<br />CQNTRACTOR PHONE: 206-378-6927
<br />CONTRACTOR LICENSE #(R�t�UI1�EC��: WASHIES851 NS
<br />PRIMARY CONTACT: ❑ OWNER �CClNTRACTOR
<br />CONTACT NAME:
<br />Ethan Qnat
<br />Buildin�
<br />TYP� of
<br />DESCR
<br />Use of Bu�l�iir�c;�=
<br />� Use of Bl�![rlit���
<br />'i�y�e: ❑5FR-Detached ❑SFR-Attached ❑
<br />�rrsject: ❑New ❑Addition ❑Remodel ❑Ft�
<br />�]TIf1Li f�C \II/l1011.
<br />ASSOCIATED BUILDING PERMIT # (i
<br />�
<br />#�004���ooao4ao�
<br />No. (attach copy of long legal description}
<br />°�IS'E'tC��SI
<br />TENANT NAME tlf C
<br />srnre WA ziP 98203
<br />OWNER EMAIL:
<br />S
<br />Sj�TE WA Z,P 98036
<br />CON7RACTOR EMAIL: eonat@washingtonenegy.com
<br />CITY OF EVERE7T BUSINESS LICENSE #{REQUlRED): 54773
<br />❑ OTHER (Please Specify)
<br />CONTACT PHONE: 206-378-6927
<br />Cc��iA�7' eMA��: eanat@washingtonenergy.com
<br />�I'�7�"71P#t� P��iiN11"�' �iPF'i1C�iT1C,il�i
<br />Contract Price of Work: $ _____ �
<br />Heat Source: �Gas ❑Electric ❑fJiher
<br />apiex ❑Multi-�amily-# of lJnits: ❑Commercial ❑Industrial
<br />�ir ❑T.I. ❑Siqn L�ISprinkC�r ❑Demolition ❑Change of Use
<br />_ _._ _
<br />Replace water heater gas in basement
<br />EU��GHANICAL PERFVIIT J�PPI.IC#kT10N
<br />Type of Project: _New _ Addn _A�teration _Repair
<br /># of List of Fixtures # of ��sf of Fixtures
<br />Fixtures Fixtures
<br />A/C — Air Handling Units Heat Pump
<br />Forced Air Systems Unit Heater
<br />Gas Piping Boiler
<br />� Water Heater Refrigeration
<br />����ac Firenlarte �/�/OOd StOV2
<br />Gas Range
<br />Clothes Drye
<br />Range Hood
<br />Exhaust Fan
<br />SPRINKLER ! SUPPRESSION SYSTEM
<br />.: �.
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<br />OwnerfAuthorized Agent
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