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18 56TH PL SE 2017-03-10
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18 56TH PL SE 2017-03-10
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Last modified
3/10/2017 1:11:28 PM
Creation date
3/10/2017 1:11:27 PM
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Address Document
Street Name
56TH PL SE
Street Number
18
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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 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 18 56th PI SE PROPERTY TAX#: 00795300007300 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:John Tarr TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 18 56th PI SE <br /> criy Everett STATE wa ZIP 98203 <br /> OWNER PHONE:(206)459-7844 OWNER EMAIL: <br /> CONTRACTOR NAME: Bob's Heating <br /> CONTRACTOR ADDRESS: STREET 14148 ne 190th st <br /> cm Woodinville STATE wa ZIP 98072 <br /> CONTRACTOR PHONE: 800-840-3346 CONTRACTOR EMAIL: jgosnell@bobsheating.com <br /> CONTRACTOR LICENSE#(REQUIRED); BOBSHHA853NQ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 41 388 <br /> PRIMARY CONTACT: ❑ OWNER ®CONTRACTOR ❑OTHER(Please Specify)_ <br /> CONTACT NAME: CONTACT PHONE: <br /> CONTACT EMAIL: <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work:$ . 'F;(' <br /> Proposed Use of Building Heat Source: ❑Gas DElectric ❑Other___ <br /> Building Type: DSFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-##of Units: ._ ❑Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair DTI. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: like for like gas furnace replacement <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> r <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 4 of List of Fixtures #of List of Fixtures 4 of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Iiandlirig Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> 1 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(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Number of Heads <br /> ACKNOWLEDGE/dENT:t have reviewed this application and confirm the information contained herein is true and correct.Work done pursuant to this permit must comply with <br /> current federal,statte,and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Officiajbq►fore 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 ith,he State Contractors Law 18.27 RCW and_'• v= J <br /> City of Everett Official Use Only <br /> PERMIT,�I I I <br /> 1/15/17 n \\(A--0 1 -- o`"1 2_- <br /> Owner/Aut ized Agent Signature Date (Revised 5/20/2016) <br />
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