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PERMIT APPLICATION
<br />BUILDiN(�ECHANICAL 1 PLUMBING / SIGN �RINKLER / DEMOLITION
<br />CITY OF EVERET? PERMIT SERVICES
<br />+�+� 3200 CEDAR STREET, EVERETT, WA 98201
<br />(P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.yov � www.everettwa.gov/permits
<br />�+'�£����T S�TE 11V�+.���VIAT�+C��
<br />���,���T S1TE ADDR��S: 7302 YeW St P���'���Y TAX #: 00594200301300
<br />LEGAL for new construction: Short PlaUsubdivision _Lot No. (attach copy of long legal description)
<br />�ci�°�"��T i���i�n�����r�
<br />OWNER NAME: �UalllB Gal"dCl@I' TENANT NAME (If Commerciat}:
<br />OWNER MAILING ADDRESS: sTReer 7302 Yew St
<br />CITY Everett STATE WA ZIP �v�Ov
<br />OwNER PHONE: 425-789-1453 OWNER EMAIL:
<br />CONTRACTOR NAME:�NASHINGTON ENERGY SERVICES
<br />CONTRACTOR ADDRESS: sTREET 3909 196TH ST SW
<br />�,TY LYNNWOOD STATF WA Z,� 98036
<br />CONTRACTOR PHONE: 206-378-6927 CONTRACTOR EMAIL: eonat@washingtonenegy.com
<br />CONTRACTOR LiCENSE #�%t�'�2Ui�Et�}: WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE �(F��QUIRED): 54'773
<br />PRIMARY CONTACT: ❑ OWNER �CONTRACTOR ❑ OTHER (Please Specify) �.__. __. -
<br />CONTACT NAME: CONTACT PHONE: 206-378-6927
<br />Eth a n O n at �QN�'ACT EMAIL: eonat@washingtonenergy.com
<br />,, , ,�t.ilt»�I�at� �!��lV[�"i" l�tP��.��,A'Clti�st
<br />�xisti��g Use of Buii,�is�r� Contract Price of Work: $ �200
<br />�'tapos�:ci Use of Building: Heat Source: ❑Gas ❑Electric �Other
<br />Build+nt� Typ� ❑SFR-Qetached ❑SFR-Attached ❑Duplex ❑Multi-Famil -# of Uniis< � ❑Commercial ❑Industrial
<br />1' �e of F'rc�jc;r,t: ❑New ❑Addition ❑Remodel ❑t�� air �T.I. ❑Si n CiSprin�t�t ❑Demolition C.ICh�r� � of Use
<br />DESCRIPTION OF WORK:
<br />Gas water heater replacement
<br />ASSOCIATED BUILDING PERMIT # (if ����piic��ai�)=
<br />ttllECH�lt�1fCAL PERM�T ��"R�.1�l�"i"�t�N
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<br />Type of Project: New _ Addn Alteration Repair
<br /># of
<br />Fixtures List of Fixtures Fixtures List of Fixtures
<br />A/C - Air Nandlin Units Heat Pump
<br />Forced Air 5ystems Unit Heater
<br />Gas Pipin Boiler
<br />t tNater Heater Refri eration
<br />Gas Fireplace Wood Stove
<br />Gas Range Ductin
<br />Giothes Dr er Hookups Other:
<br />Range Hood
<br />Exhaust Fan
<br />SPRINKLER ! SUPi�`R���ii��: ��t'�'t"�iYf
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