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PERMIT APPLICAT��.�. <br />BUILDING / MECHANICAL / PLUMBING I SIGN / SPRINKLER I DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits <br />PROJECT SITE INFORMATIt�N <br />�JECT SITE ADDRESS:2O � 7 9HtIl St SE PROPERTY TAX #:OOHrJ2� 00004300 <br />for new construction: Short PlaUsubdivi <br />No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: Ha1711Cl2i1 O'Bryant TENANT NAME (If Commercial): <br />OWNER MAILING ADDRESS: srReeTHalIIICIeII O'Bryant <br />CITV Everett STATE " •� ` ZIP ���0� <br />owNER PHONE:425-367-1836 owNER EM,ai�:hamidehobryant@gmail.com <br />CONrw4CTOR N,4nne:WASHINGTON ENERGY SERVICES <br />CONTRACTOR ADDRESS: srREET 3909 196TH ST SW <br />cin LYNNWOOD STATE WA ziP 98036 <br />CONTRACTOR PHONE:2O6-3%H-664H CONTRACTOR EMAIL:dea9l@�p WaSI11C1gtOn@11@gy.CO <br />CONTRACTOR LICENSE #(REQUIRED): WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE #(REQUIRE : 54773 <br />PRIMARY CONTACT: ❑ OWNER �CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: CONTACT PHONE:206-378-6648 <br />DeAn n a Eag le CONTACT EMAIL: deagle@washingtonenergy.com <br />BUILDING PERMIT APPI.ICATION ' <br />EXIStIII US@ Of BUIIC11Il :�ai Singie Family Residence Condominium Detached Contract Price of W : g4608 <br />Proposed Use of Buildin : Heat Source: ❑G ❑ ectric ❑Other <br />Buildin T pe: OSFR-Detached ❑SFR-Attached �uplex �Multi-Famil -# of Units: ❑Commercial ❑Industrial <br />T e of Pro ect: ❑New ❑Addition ❑Remodel ❑Re air ❑T.I. ❑Si n ❑S rinkler ❑Demolition ❑Chan e of Use <br />DESCRIPTION OF WORK: <br />Replacing gas furnace <br />ASSOCIATED BUILDING PERMIT # if a licable : <br />MECHANICAI. PERMIT APPLICATION <br />Type of Project: _New _ Addn ✓ Alteration Repair <br />Fixtures Lisi of Fixfures Fixtu es List of Fixtures <br />A/C - Air Handling Units Heat Pump <br />i Forced Air S stems Unit Heater <br />Gas Pipin Boiler <br />Water Heater Refri eration <br />Gas Fireplace Wood Stove <br />Gas Ran e Ductin <br />Clothes D er Hookups Other: <br />Ran e Hood <br />Exhaust Fan <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />PLUMB[NG PERMIT APPLICATI�N <br />Type of Project: New Addn Iteration Repair <br /># of List of Fixtures # of List of Fixtures <br />Fixtures Fixtures <br />Toilet Backflow Preventer (Inside Bld ) <br />Bathtub Urinal <br />Lavato (Wash Basin) Drinkin Fountain <br />Shower Floor Drain <br />Kitchen Sink & Disposal Grease Trap <br />Dishwasher Roof Drains <br />Clothes Washer Medical Gas <br />Water Heater Other: <br />Sink Service/Bar/Mo /etc. Other: <br />ACKNOWLEDGEMENT: 1 have reviewed this application and confirm the information contained herein is true and correct. Work done 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 />Bui/ding Official before being authorized under any circumstance. I am the owner, or 1 am authorized by the owner of this property to pertorm the work for which application is made, <br />and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />DeAnna Eagle - ' �a�si�s <br />Owner/Authorized Agent Signature Date <br />City of Everett Official Use Only <br />PE�\�C O '�-LJ—� � <br />(Revised 10/12/2015) <br />�..(C � �— <br />