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3724 GRAND AVE 2016-11-01
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3724 GRAND AVE 2016-11-01
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Last modified
11/1/2016 1:11:31 PM
Creation date
10/20/2016 2:35:59 PM
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Address Document
Street Name
GRAND AVE
Street Number
3724
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• • <br /> 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 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa,.govipermits <br /> PROJECT SITE'tM+lF'OR, AT.I[ ., <br /> PROJECT SITE ADDRESS:3724 Grand Ave PROPERTY TAX#:00451500901203 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CON"T"ACT INFORMATION <br /> OWNER NAME: Terry Wolff TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: ITREET3724 Grand Ave <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE:425-754-8596 OWNER EMAIL:twChance@hotmail.com <br /> CONTRACTOR NAME:WASHINGTON ENERGY SERVICES <br /> CONTRACTOR ADDRESS: STREET 3909 196TH ST SW <br /> CITY LYNNWOOD STATE WA ZP 98036 <br /> CONTRACTOR PHONE:206-378-6927 CONTRACTOR EMAIL:eonat@washingtonenegy.com <br /> CONTRACTOR LICENSE#(REQUIRED):WASH IES851 NS CITY OF EVERETT BUSINESS LICENSE#(REQ RED): 54773 <br /> PRIMARY CONTACT: ❑OWNER ECONTRACTOR ❑OTHER(Please Sp =a <br /> eclfy) <br /> CONTACT NAME: CONTACT PHONE:206-378-6927 <br /> Ethan Onat CONTACT EMAIL:eonat@washingtonenergy.com <br /> BUILDINiG,FiEft 4lf#'I-�*Pp�,6,", +[,<., <br /> Existing Use of Buiidin :111 Single Family Residence- Detached lContract Price of Work:$9,223.01 <br /> Proposed Use of Buildin Heat Source: []Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached []Duplex []Multi-Family-#of Units, ❑Commercial ❑Industrial <br /> Type of Pro ect: ❑New ❑Addition ❑Remodel ❑Repair ❑T.L []Sign ❑S rinkler ❑Demolition ❑Chan e of Use <br /> DESCRIPTION OF WORK: Ir1Stalling Bryant heat pump <br /> ASSOCIATED BUILDING PERMIT#(if applicable)- <br /> MECHANICAL PERMIT APPLICATION P1.t)Mj3lNG 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 List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units t Heat Pump Toilet Backflow Preventer(inside Bldg) <br /> Forced Air S stems Unit Heater Bathtub Urinal <br /> Gas Pii)inci Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal lGrease Trap <br /> Gas Rance Ducting Dishwasher Roof Drains <br /> Clothes 5ryer 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 have reviewed this application and confirm the information contained herein is true and correct.Work dome pursuant to this permit must comply with <br /> current federal,state,and local law.The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Buitd,ng Official before being authorized under any circumstance 1 am the owner,or f am authorized by the owner of this property to perform the work for which application is made, <br /> and 1 comply with the State Contractors Law 13.2'RCW and z96.200A WAC <br /> City of Everett Oficial Use Only <br /> 08104/2010 <br /> PE <br /> Im ( 0 S <br /> OwneriAuthorizedg Signature Crate (1kvised lwU zj�-015) <br />
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