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� 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 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits <br />Blue or Black Ink Only Please) PROJECT SITE 1'NFORMATION <br />'ROJECT SITE ADDRESS: 7902 Gleil DR E EV@rEtt,WA 98023 PROPERTY TAX #: <br />for new construction: Short PlaUsubdivision <br />Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: MICIIaeI GIIIIt1gS TENANT NAME (If Commercial): <br />OWNER MAILING ADDRESS: srReer 7902 Glen DR E <br />�„Y Everett STATE WA Z�P 98023 <br />OWNER PHONE: OWNER EMAIL: <br />coNTRacroR NaME; Royal Mechanical LLC <br />CONTRACTORADDRESS: sTReer 914 164th St SE B12 #281 <br />cirv Mill Creek srArE WA zia 98012 <br />CONTRACTOR PHONE: 4Z5-H94-%003 CONTRACTOR EMAIL: IIlfO CO almechanicallic.com <br />CONTRACTOR LICENSE #(REQUIRED): CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): O <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: CONTACT PHONE: 206-7%H-H9H7 <br />Michael Gillings CONTACT EMAIL: <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building: Contract Price of Work: $ � 275.�0 <br />Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other <br />Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-# of Units: ❑Commercial ❑Industrial <br />Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br />DESCRIPTION OF WORK: <br />Replacing water heater <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />MECHANICAL PERMIT APPLICATION PLUMBING 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 #°f List of Fixtures <br />Fixtures Fixtures Fixtures Fixtures <br />A/C — Air Handling Units Heat Pump Toilet Backflow Preventer (Inside Bldg) <br />Forced Air Systems Unit Heater Bathtub Urinal <br />Gas Piping Boiler Lavatory (Wash Basin) Drinking Fountain <br />Water Heater Refrigeration Shower Floor Drain <br />Gas Fireplace Wood Stove Kitchen Sink & Disposal Grease Trap <br />Gas Range Ducting Dishwasher Roof Drains <br />Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br />Range Hood Water Heater Other: <br />Exhaust Fan Sink (5ervice/Bar/Mop/etc.) Other: <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />ACKNOWLEDGEMENT.' l l�ave review✓ed tl�is applrcation and confirm the information contained herein is true and correct. Work done pursuant fo this permit must comply wrfh <br />current federal, state, and local law. The granting of a permit only authorizes approved work and no devrations therefrom. Deviations must first be authorized in writing from the <br />Building Official before being authorized under any circumstance. I am the owner, or I am authorized by the owner of this property to perform the work for which application is made, <br />and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />City of Everett Official Use Only <br />_ PERMIT # � <br />�...� ._ ..,�_� �' + <br />Owner/Authorized Agent Signature Date (Revised 9/23/2016J <br />