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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 /> SITE ADDRESS: PROPERTY TAX# ' IT ( n r(D 5 g <br /> 2214 Wetmore Ave 00439147902600 r y � L <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER Fede Chavez Phone/E-mail 425-903-1954 <br /> Address 2214 Wetmore Ave City/State/Zip Everett Wa 98201 <br /> APPLICANT: Owner Owner's Agent X Contractor Contractor's Agent Tenant(must provide a letter of consent from the owner to do work m the space) <br /> CONTRACTOR Bobs Heating and A/C L& I Lic.# BOBSHHA853NQ COE Bus. Lic.# 41388 <br /> Address 14148 NE 190th ST Woodinville wa 98072 Phone/Email 800-840-3346 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT James Gosnell <br /> Phone/E-mail 206-378-6723 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 2500 <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas Electric Other <br /> Building type: X Single Family Duplex Townhouse Multi-Family Commercial <br /> Type of project: New Addition Remodel Repair T.I. Sign Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> like for like 80% gas furnace replacement <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New Addn Alteration Repair Type of Project: New_Addn _Alteration Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> A/C—air handling units Toilet <br /> 1 Forced air systems Bathtub <br /> Gas piping Lavatory(wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I hereby certify th..I have read and examined this application and know the same to be true and correct.All provisions of laws and ordinances governing this type of work will be complied <br /> with whether s cited herein or not.The granting of a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction <br /> That I am aut1 irized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> zAar 12/18/16 <br /> Ow''/Authorized Agent Signature Date (Revised 6/2012) <br />