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PERMIT APPLICATION
<br />BUILDING / MECHANICAL 1 PLUMBING / SIGN I SPRINKLER / DEMOLITION
<br />CI iY OF EVERE7T PERMIi SERVICES
<br />3200 C�UAR STREET, EVEREiT, WA 98201
<br />(P) 425-257-8810 I FAX 425-257-B857 � l�j �;veretteps(a�everettwa.gov � vuww,�vt�rf�ttav�,r���yip_�rmits
<br />P'i�OJE�T �t'i� iNFt�RMATI�N � �
<br />PROJECT SITE ADDRESS: � 0205 7th Ave SE PROPERTY TAX #: 00482200000101
<br />___ _.-- ---.-.---._.
<br />LEGAL for rew con,fructinn: Short PlaVsuooi�isior� Lot ho. (attach copy of lony leyal oescription)
<br />�ONTACT itr1�'t�Ft$t�d"#TION
<br />OWNER NAME: Michael Griffin TENANT NAME (If Commercial):
<br />OWNER MAfLING ADDRESS: sTReer 10205 7th Ave SE
<br />_ __ _ ciTv Eve�ett s�nr� WA ziP 98208
<br />PHONE: 206-902-8236 IOWNER EMAIL•
<br />CONTRACTOR NAME Washington Energy Services
<br />CQNTRACTOR ADDRESS: sTReeT 3909 196th St. SW
<br />��i'' L nnwt�od srnrE WA zia g8036
<br />CONTRACTOR PHONE: 206-378-6708 CONTRAC70R EMAIL: JCopley@washingtonenergy.com
<br />CONTRACTOR LICENSE #�R�c�t11R�p); WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE k(REqUlFl�C)): 54773
<br />PRIMARY CONTACT: ❑ OWNER � CONTRACTOR ❑ OTHER (Please Specify) _ __
<br />CONTACT NAME: CONTACT PHONE: 2p6-378-6708
<br />Joyce Copley CONTACT EMAIL: JCopley@washingtonenergy.com
<br />�llf�»G11NC P�aMrT A��*t���i:T�ohi
<br />Existing Use of Building: Contract Price of Work: $$1,500
<br />Proposed Use of Building: Heat Source: �Gas ❑Electric ❑Other
<br />Building Type: �SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Famil -# of Units: ❑Comrnercial ❑Industrial
<br />Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Si n ❑Sprinkler ❑Demolition ❑Chanqe of Use
<br />DESCRIPTION OF WORK:
<br />Replace gas water heater located in laundry room
<br />�ASSOCIATED BUILDING PERMIT # (if ap�lir,abie):
<br />PLUMBING �►EFtMiT AP�t»iCAiliJ�N
<br />Type of Project: New Addn Alteration `Repair
<br /># of List of Fixtures #�f Lis[ of Fixtures
<br />Fixtures Fixtures
<br />Toilet Backilow Preventer (Inside Bldg)
<br />Bathtub Urinal
<br />Lavatory ;Wash Basin) Drinking Fountain
<br />5hoa�er Floor Drain
<br />Kitchen Sink & Disposal Grease Trap
<br />Dishwasner Raot Drains
<br />ClUthes �Vasher Meriical Gas
<br />Vilater Heater Other:
<br />Smk (Seivicet[3ar/Mop/etc.) C�ther �
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