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M <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 />TE ADDRESS: PROPERTY TAX # �I�IC�IT � I ^ � � � <br />3417 Rockefeller Ave 00438182000900 I\ <br />for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br />OWNER N <br />ress 3417 Rockefeller Ave <br />Phone/E-mai� 425-231-6394 <br />City/State/Zip Everett, Wa 98201 <br />CANT: _ Owner _ Owner's Agent (� Contractor _ Contractor�S A j@flt _ T@f18llt(must provide a letter of wnsent from the owner to do work in the space) <br />CONTRACTOR Bobs Heatin and A/C L& I Lic. # BOBSHHA853NQ COE Bus. Lic. # 41388 <br />Address 14148 NE 190th ST WOOd'Irlville Wa 98072 Phone/Email 800-840-3346 <br />TENANT BUSINESS NAME CONTACT FOR PERMIT Lucinda Honeycutt <br />5 <br />Phone/E-mail 206-378-6735 <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 14600.00 <br />Existing Use of Building HEAT SOURCE: <br />Proposed Use of Building Gas X Electric Other_ <br />Building type: X Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of project: New _ Addition X Remodel Repair _ T.I. _ Sign _Sprinkler _Demolition Change of Use <br />DESCRIPTION OF WORK (add�t�ona� space provided on tne back): III(e f01' IIIC@ fUfflaC@ I'2pIaC@I'Tletlt, add ac to hvac s stem <br />Tankless Hot Water Tank <br />Gas pipe To new Hot Water Tank <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 range <br />Clothes dr <br />Exhaust fan <br />Heat pump <br />Boiler <br />Refri eration <br />Woodstove <br />Ducting <br />Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />I Toilet <br />basin <br />Kitchen sink & <br />Dishwasher <br />Water heater <br />Sink (service/bar/m <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <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 conect. All provisions of laws and ordinances governing this type of work will be complied <br />with whether spec�ed herein or not. The granting of a permit does not presume to give authority to violate or cancel the provision of any other stale or local law regulating construction <br />That I am authorized by the owner of this property to perfor the work for which applicalion is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />� � � �� � _��� <br />Owner/Authorized'A ent Signature Date (Revised 6/2012J <br />