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PERMIT APPLICATION <br /> BUILDING I MECHANICAL 1 PLUMBING /SIGN /SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 3601 26th ST PROPERTY TAX#: 00516858100102 <br /> LEGAL for new construction: Short Plat/subdivision-,­_, _. Lot No., (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Donna Olsen TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 3601 26th ST <br /> cirV Everett STATE WA zip 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Washington Energy Services <br /> CONTRACTOR ADDRESS: STREET 3909 196th St.SW <br /> ciry rt woo STATE WA zip 98036 <br /> CONTRACTOR PHONE: 206-378-6927 CONThACTOR EMAIL: JCopley@washingtonenergy.com <br /> CONTRACTOR LICENSE#(REQUIRED): WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE itt(REQUIRED): 54773 <br /> PRIMARY CONTACT: ❑OWNER ®CONTRACTOR ❑OTHER(Please Specify) �— <br /> CONTACT NAME: CONTACT PHONE: 206-378-6708 <br /> Joyce Copley CONTACT EMAIL: JCopley@washingtonenergy.com <br /> Ot�1Ll�I�tCi PSRM�T API�'I.1!CATt�iN ,_ <br /> Existing Use of Buiidirl r <br /> Contract Price of Work:$ $1,500 <br /> Proposed Use of Building: Heat Source: ®Gas ❑Electric ❑Other <br /> Building Type:. ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: El New ❑Addition ❑Remodel ❑Reptair, ❑TJ, ❑Sin ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Replace gas water heater;Tank is in the laundry room <br /> ASSOCIATED BUILDING PERMIT# if aplicablL <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New Addn ,,,,.-,,,.Alteration X Repair Type of Project: _New _Addn _Alteration _Repair 4 <br /> List of Fixtures #of List of Fixtures <br /> #of <br /> Fixtures List of Fixtures #of List of Fixtures #of Fixtures <br /> Fixtures Fixtures <br /> A/C–Air Handling Units Heat Pump Toilet Bckftrw Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boller Lavatory(Wash Basin) Drinking Fountain <br /> X Water Heater Refricieration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Washer Medical Gas <br /> Clothes Dryer Hookups Other: , <br /> Ranqe Hood Water Heater Other: <br /> Fxhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> d <br /> SPRINKLER 1 SUPPRESSION SYSTEM <br /> Number of Heads <br /> ACKNOWLEDGEMENT:i have reviewed this application and confirm the information contained herein is true and correct Work done pursuant to this permit mast conrply with <br /> current federal,state,and local taw,The granting of a permit only authorizes approved work and no dewahons therefrom.Deviations must first be authorized in writing from the <br /> Building Official before being authorized under.any circumstance f am the owner,or t am authorized by the owner of this property to pe ornt the work for which�ppficatian is trade, <br /> and f comply with the Slate Contractors Law i&.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Oniy <br /> PERMIT# <br /> ed> itT t i fi1,4 <br /> Owne trth deed Agent 41ntune to ,f,',u : <br /> i <br />