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0 PERMIT APPLICATION <br /> BUILDING / MECHANICAL/ 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:303 107th PI SE PROPERTY TAX#:00730400000900 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Orlando Mlquel TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 303 107th PI SE <br /> c,Ty Everett STATE WA z,N 98208 <br /> OWNER PHONE:425-478-0786 OWNER EMAIL: <br /> CONTRACTOR NAME;WASHINGTON ENERGY SERVICES <br /> CONTRACTOR ADDRESS: STREET 3909 196TH ST SW <br /> CITY LYNNWOOD STATE WA 98036 <br /> CONTRACTOR PHONE:206-378-6927 CONTRACTOR EMAIL:eonat@washingtonenegy.com <br /> CONTRACTOR LICENSE#(REQUIRED):WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 54773 <br /> PRIMARY CONTACT: ❑OWNER CONT ACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-378-6927 <br /> Ethan O n at CONTACT EMAIL:eonat@washingtonenergy.com <br /> BUILDING PARMITAPPLI CATION <br /> Existing Use of Buildinrd: Contract Price of Work:$ <br /> Proposed Use of Building. Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached []Duplex ClMulti-Family-Its of Units: ❑Commercial ❑Industrial <br /> Type of Project ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition []Change of Use <br /> DESCRIPTION OF WORK: <br /> Replace water heater gas <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn _Alteration_Repair Type of Project: _New _Addn _Alteration ,Repair <br /> #of List of Fixtures #of List of Fixtures #of #of <br /> Fixtures Fixtures Fixtures List of Fixtures Fixtures List of Fixtures <br /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bld ) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> 1 Water Heater - Refrigeration Shower Floor Drain <br /> Gas Fireplace wood Stove lKitche,n Sink&Disposal Grease Trap <br /> Gas Ran e DuctingDishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Number of Heads <br /> ACKNOWLEDGEMENT 1;+ave nrrewed,!"s application and confirm the intormation coma?,=era herein is true anti c:orrert work crone pursuant to this perind.must roniaiy with <br /> rumant federal. state and tocai low the yr;antirfg of a permit only authorizes approved,work and no devratiuns theretrorn.Deviations must first be authorized in writing from the <br /> Etuitding Official before being a:rtixnze=d under any circ,;rnsta°ice t am the owner.or tarn authorized oy the:owner of ims property to pertbrrn the work for which application is mrade, <br /> and f compiy wah tho tate Contractors Law.18 27 fid";W and 295 200A WAC. <br /> t;ity of Ever-e;?t Official Lase Only <br /> PERMIT# <br /> 04/05116 ' <br /> Owner/Authorized Aceta si astute Date (Fz'evised t0✓',2/20 f 7) <br /> t <br />