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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 /> (P)425-257-8810 ) FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> 0ROJEL1'SITE iINFt3I 14�ATI13N <br /> PROJECT SITE ADDRESS: 1319 Lombard Ave PROPERTY TAX M 00450625000900 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Cecil Vess TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 1319 Lombard Ave <br /> cl- Everett STATE WA zip 98201 <br /> OWNER PHONE: 425-343-7316 or 425-252-2042 OWNER EMAIL: <br /> CONTRACTOR NAME: Washington Energy Services <br /> CONTRACTOR ADDRESS: STREET 3909 196th St.SW <br /> CITY Lynnwood STATE WA zip 98036 <br /> CONTRACTOR PHONE: 205-378-6708 CONTRACTOR EMAIL: JCopley@washingtonenergy.com <br /> CONTRACTOR LICENSE#(REQUIRED): WASHIES85INS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 54773 <br /> PRIMARY CONTACT: ❑ OWNER M CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-378-6708 <br /> Joyce Copley CONTACT EMAIL: JCopley@washingtonenergy.com <br /> BUILOINC,i'll ERMIT APPL)ItATION <br /> Existing Use of Building: lContract Price of Work:$ $1,200 <br /> Proposed Use of Building: Heat Source: ®Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Du lex ❑Multi-Family-#of Units', ❑Commercial El Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Re air ❑T.I. ❑Sin []Sprinkler ❑Demolition ❑Chan a of Use <br /> DESCRIPTION OF WORK: <br /> Replace gas water heater located in basement <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION' <br /> Type of Project: _New Addn Alteration X Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A1C–Air Handling Units Heat Pump Toilet Backflow Preventer Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavator {Wash Basin} Drinking Fountain <br /> X Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ductina Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Flange Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other. <br /> SPRINKLER 1 SUPPRESSION SYSTEM <br /> Number of Heads <br /> ACKNOWLEDGEMENT:(have reviewed this appficafion anci confirm ttts information contained t;erern is hue and correcf. Wvrk done pursuanf fo this permit otos!comply with <br /> current federal,state.<and Tor.aUaw The granting of a peanut only authorizes approved work and no devialrens therefrom,Deviations must first h&authorized in waling from the <br /> t wilding C)flicral hefnr�biting authorized under arty circumstance,fain the owner,or l am authorized by the owner of This property to perform the work for which application r.s rnado. <br /> and I '�I:�{,ri VMI;Uri;;"t.atra CO r rncfors L.dw? .:'7 f?Clf✓far0 296,2i)0A IVhL <br /> :;ily of Evc:rr.>t!C'rf4;ira!'.15e Only <br /> PERM r# <br /> 6118/16 <br /> Ati€ rized Agent Slahatwe Date (Rrvrsod Ir!FfLr? ,'j <br />