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i • <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 9 AM TO 4 PM �. 7 � I � <br /> SITEADDRESS: ,�O�S MBPIB Sl Pp00438719302500 P RMITp D <br /> LEGAL tor new conslrutlion� S�ort PlaVsubdivision Lot No. (atlach copy ol long legal tlescnpUon) <br /> OWNER DOU9 EISB Phonc/E•mail 425 252-5731 <br /> Address 1018 Maple St Ciry/Slate2ip <br /> APPL�CANT: Owner OwnersAgent C�Canlracior ConlractofSAgen1 TCnanl�mwtommoa�eve�oimns��irvmmea.ne�icaowni.,moemm� <br /> coHrrucTOR Bobs Heatin and A/C �s i u� a BOBSHHA9790B COE Bus.Lic.# 41388 <br /> Atldress 14148 NE 1901h ST Woodivnille Wa 98072 Pnoneiemai� 800-840-3346 <br /> TENANT BUSINESS NAME CONTACT FOR PERMI7 �ames Gosnell <br /> Pnonere.mau 206-378-6723 <br /> BUILDING PERMIT APPLICATION CONTRHCT PRICE OF WORK <br /> Ezisting Use ol8uilding HEAT SOURCE: <br /> Proposed Use Of Building Gas Eleclric Olher_ <br /> Builaing rypc: X Single Family _Duplex_Townhouse _Multi•Family _Commercial <br /> T e of ro ect�. New Addilion Remodel Re alr T.I. Sign 5 nnkler Demolition Chango of Use <br /> DESCRIPTION OF\NORK(aodifiona/spaco pmv�oed on�ne back): <br /> Like for like gas turnace replacement <br /> MECNANICAL PERMIT APPLLCATION PLUMBING PERMIT APPLICATION <br /> Type of ProJect: _New_Addn _Altarallon_Repair Type ol ProJect: _New_Addn _Altaratlon_Repalr <br /> Show NumDer(pJ o/�rtums S�ow NumDer(p)o/fl+tures <br /> NC—air handling units � Toilet <br /> Forced air s stems � Bat�tuD <br /> Gas i ing Lavalo wash basin <br /> Water heater Shower <br /> Gas fire lace ICitchen smk 8 Cis osal <br /> Gas ran e Dishwasher <br /> Clolhes d er Glolhes washcr <br /> Range hoo0 Water healer <br /> Exhausl fan Sink servicelbar/mo fetc. <br /> Heat um Backflow revenler <br /> Unil hcatcr Urinal <br /> Boiler Drinkln Fountain <br /> Refn eralion Floor drain <br /> Woodstove Grease ira <br /> Ductin Rool drains <br /> Other Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTFM o�her: <br /> N�mber of Heads Olher: <br /> I MereEy ceMy Nal I�ave rea0 anE e�amineE Nis aODl�raEon anC know l�e same lo En tue anC cortecl.M O�ov¢kns ol la�.s anE oNinances ooveming Ihis rype olwod vuA 6e complietl <br /> w�Ciwnetl+ers cfiadhere�narnoLTTagmnungoiapermndoesnolpresumetogrveauV�onrytoviolalearwnceltneO�vlsonolanyoNe�s�aieorbwiiawmgulaungmnswction <br /> Thal l am a nzcE OY�a ownei ol Nis praOeM to perlortn��o woA lor wTich eppliw�on is maEo enE 1 mmpry v.n�Ifio Stato Controctors Ww 18.77 RCW enC i9fi200A WAC. <br /> 27 Oct 2014 <br /> Ow u�orized Agent Signature Date (Revrsetl fy20f2) <br />