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� <br />�� <br />\I <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 />SITE ADDRESS: PROPERTY TAX # PERMIT # <br />1905 16th st 00438230401401 N� �lff_' �'��'� <br />LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br />OWNER Darryl Keffer Phone/E-mail 425-327-3414 <br />Address 1905 16th ST City/State/Zip Everett, Wa 98208 <br />APPUCANT: _ Owner _ Owner's Agent X Contractor _ Contractor's Agent T2f18f1t (must provide a lalter of consent from Ihe ovmer to do work in the space) <br />CONTRACTOR Bobs Heating and A/C <br />Address 14148 NE 190th ST Woodinville wa 98072 <br />BUILDING PERMIT APPLICATION <br />L& I Lic. # BOBSHHA853NQ COE Bus. Lic. # 41388 <br />Phone/Email $00-840-3346 <br />CONTACT FOR PERMIT Lucinda Honeycutt <br />Phone/E-mail 206-378-6735 <br />CONTRACT PRICE OF WORK 6000.00 <br />Existing Use of Building HEAT SOURCE: <br />Pfoposed Use of Bullding Gas Electric Other <br />Building type: X Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of project: New � Addition Remodel Repair _ T.I. _ Sign _Sprinkler _Demolition Change of Use <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />Add Heat pump to existing hvac system <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn �Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#J of flxtures Show Number (#) of fJxtures <br />A/C — air handling units Toilet <br />Forced air systems Bathtub <br />Gas oioina Lavatorv (wash basin) <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Ranqe hood <br />Heat <br />Boiler <br />Refrigeration <br />Woodstove <br />� Other <br />SPRINKLER/SUPPRESS <br />Number of Heads <br />Shower <br />Kitchen sink & c <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/b� <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />I hereby certify that I have read and examined this application and know the same to be true and correcl. 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 construclion <br />That I am author'zed by the owner this p perty to perform the work for which application is made and I comply wilh the State Contractors Law 18.27 RCW and 296.200A WAC. <br />7/27/16 <br />Owne uthorized Agent Signature Date (Revised 6/2012J <br />