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PERMIT APPLICATION <br />BUILDING 1 MECHANICAL I PLUMBING / SfGN I SPRINKLER / DEMOLlTION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 ! FAX 425-257-8857 �(�j everetteF�s(a7everettwa.gov � www.everettwa.gov/permits <br />�'�ia�,r��7� ��°�"� r��+���a��r��a� <br />O.IECT SITE ADTIRESS: 5605 1 st Dr VV PROPERTY TAX #: d0816600003400 <br />GI1L for new construction: Snorl P�at/subdwision_ ,_ _......___..__ Lr�I No.__ ;stfach copy ol :onq legal descriptlon} <br />CC3NTA�T ild�tiRMATtt?twI ` <br />OWNER NAME: Jamie Capp <br />TENANT NAME <br />OWNER MAILING ADDRESS: sTReeT SgUb 1st Ur W <br />cirv �Vet'etE STATE WA �i�' 9�3231 <br />OWNER PHONE: (425)513-0713 (425)205-1784 (425)512-2955 OWNER EMAIL: <br />CONTRACTOR NAME: Washington Energy 5ervices <br />CONTRACTOR ADDRESS: srHerT 3gpg �g���� ��. �t/t/ <br />��n' L nnWood srnre WA Zi� 98036 <br />CONTRACTOR PHONE: 206-378-6708 CONTRACTOR EMAIL: �Copley@washingtonenergy.com <br />CON7RACTOR LICENSE #(��C�L11R��): WASHIES851 NS CI'#'Y OF EVERETT BUSINESS LICENSE #(F���14d1��Q): 54773 <br />PRIMARY CONTACT: ❑ OWNER � CONTRACTOR ❑ OTHER (Please Specify) __. <br />'CONTACT NAME: CONTACT PHONE: 206-378-6708 <br />Joyce Copley CON7ACT EMAII: JCopley@washingtonenergy.com <br />Existin Use of Building: Contract Price of Work: ��1,389.39 <br />Prop�sed Use of E3uilding: Heat Source: �Gas ❑Electric ❑Other <br />6i�ilclln, Ty e: ❑SFR-Detached ❑SFR-Attached ❑Du ex ❑Multi-Family-# of Units: ❑Commercial ❑Industrial <br />T p�; of Pro`ect: ❑New ❑Addition ❑Remodel ❑!�r-,pair ❑T.I. ❑Sic��t ❑S r�nkler ❑Demolition ❑Chan e of Use <br />pESCRIPTION OF WORK: <br />Repiace gas water heater located in garage <br />1AS5tlCIATG�f BUILDING PERMIT # {i( :zpplicable}: <br />AC;KNUL�L _nf FM� .'i�� !>>� : av;e�„�ec lhis r.,,nGcal,vn and conlrrm ti�ie inlcrm�ti�n cc�r;fdtued her�iia �.5 !rue and coriect. W �tk dan� parsla�:f to this pctrrr�rf rnut:! co�np;y w�U; <br />currenf !ed�rai, :,t 3�_, and Y�col G;vc ,-��e y���ting oi a ne�mi( only au(honres apprr�vp� wurk antl no dovr+.3Uens thcre(rnm. De✓��Ir�irs m�st Rr'f f�� ���� t�"i[e: i r i t rifrr�� / om i� <br />Surtr�',r., �.>L_[�[t; ber:�re he+n�j �urhorized un{le; .;�ny cFrctentsionCe. 1 ant ike owrrer o� ; Da; authori: ed bV fhe u.vr,er ol fhis p�t�pei�V Fo P<.n.um ;hc .v x�r tor �nh �.n .j�;�.Hr,a 'r � s m�;i1e. <br />rarrd 7, rv�,t,� ,v; t 7, s�lr�t r f i�;���ckz�:ti l.t���i t ti 77 F2CW �3r,�1 29�.2C'Oa1 WAC;, _ <br />. W -� <br />�,it4� �l �ve�E?t b!ticfal !he �_Ytrry <br />/" <br />,<' ,, �'"� "� � F'f F�i�1! <br />, � j�' r <br />� � .. ,�'W � �' j �'� �'_ .a <br />�� 1 : ,. � � ,• p.`;i� 9I16 <br />'� _ � _ � .� __ <br />4�wG�i r!� �iitl�o z�;d Agent S�g� . turc �):ate � � � ����t�i�ao-d 1�J/t1;'l'�, �/ <br />�'Jr� <br />