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� <br />� <br />� <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ADDRESS3�2 74th St SW <br />for new construction: Short PlaUsu <br />erry richards <br />302 74th St Sw <br />1500 <br />Lot No. (attach copy of long legal description) <br />Phone/E-mail (425)420-5772 <br />AF'F'LIGANT: _ Owner _ Owner's Agent X Contractor _ Contractor's Agent _ Tenant �musc p�o��de a iene� or co�sent r�om tne ow�e� to do work in cne sPace) <br />CONTRACTOR Bobs Heatin and A/C L& I Lic. # BOBSHHA9790B COE Bus. Lic. # 41388 <br />qddress 13633 NE 126th PI #350, Kirkland Wa 98034 Phone/Email 800-840-3346 <br />TENANT BUSINESS NAME CONTACT FOR PERMIT James Gosnell <br />Phone/E-mail 206-378-6723 <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 1200 <br />Existing Use of Building � <br />Proposed Use of Building <br />Building type: X Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of project: New Addition Remodel Repair _ T.I. _ Sign _Sprinkler <br />DESCRIPTION OF WORK (additiona/ space provided on the back) : <br />like for like replacement of gas water heater <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />A/C — air handling units <br />Forced air svstems <br />Water heater <br />Gas fireqlace <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />j Other <br />SPRINKLER / SUPPRESS <br />Number of Heads <br />HEAT SOURCE: <br />_ Electric Other <br />of Use <br />PLUMBING PERMIT APPLICATION <br />of Project: _New _Addn _Alteretion _Repair <br />Show Number (#) of fixtures <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Clothes washer <br />Water heater <br />Sink (service/bar/i <br />Backflow preventf <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />I hereby certrfy that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied <br />with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction <br />That I am authorized by the owner of this property to perform lhe work for which application is made and I comply with the State Contractors Law 1827 RCW and 296200A WAC. <br />25 feb 2015 <br />Ow r/Au ed Agent Signature Date (Revised 6/2012) <br />