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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES / .2 3—/7/ <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />CEPTED FROM 8 AM TO 4 PM <br />APPLICATIONS ARE AC <br />SITE ADDRESS: PROPERTY TAX# <br />621 40th PI 008019000040000 <br />PERMIT# a <br />LEGAL for new construction: Short Platlsubdivision Lot No._ (attach copy of long legal description) <br />OWNER Jerry Stansfield Phone/E-mail 425-258-6034 <br />Address 621 40th PI City/State/Zip Everett WA 98201 <br />APPLICANT:_Owner _Owner's Agent XContractor _Contractor's Agent _Tenant(,,,, provide a loner or me oi.anm de voi in me soace) <br />Heating A/C IL & I Lic. # BOBSHHA9790B COE Bus. Lic. # <br />CONTRACTOR Bobs and <br />Address 13633 NE 126th PI #350, Kirkland Wa 98034 Phone/Email 800-840-3346 <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT Christiana Flajole <br />F honelE-m ail 206-378-6630 <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK 1200.00 <br />HEAT SOURCE: <br />Existing Use of Building <br />Gas X Electric Other_ <br />Proposed Use of Building <br />Building type: X Single Family _ Duplex _Townhouse _ Multi -Family _ Commercial <br />Type of project: New Addition Remodel Repair T.I. Sin Sprinkler Demolition Change of Use <br />DESCRIPTION OF WORK (additional space provided on the back): like for like gas Water heater replacement <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _Alteration _Repair <br />Typo of Project: _Now _Addn _Alteration _Repair <br />_New_Addn <br />Show Number (#J of fixtures X re lacement <br />Show Number (#) of fixtures <br />AJC — air handling units <br />Toilet <br />Forced air systems <br />Bathtub <br />Lavatory (wash basin) <br />I Gas piping <br />Shower <br />Water heater <br />Kitchen sink & disposal <br />Gas fireplace <br />Dishwasher <br />Gas ran a <br />Clothes washer <br />Clothes d er <br />Water healer <br />Penner Food <br />Penner hood <br />Sink (serace/bar/mop/etc.) <br />Exhau <br />Backilow prevenler <br />Heat pump <br />Urinalnrinkinn <br />II <br />Unit heater <br />Fountain <br />Boiler <br />Floor drain <br />Refri era ion <br />Grease trap <br />Woodstove <br />Roof drains <br />Ductin <br />Medical Gas <br />Other <br />SPRINKLER I SUPPRESSION SYSTEM <br />Other: <br />I Number of Heads <br />Other: <br />I hereby candy, that I have read and examined this application and know the same to be We and Correct. All provisions of laws and wdinances governing this type olwork we be complied <br />with whether specified herein or not. The granting of a permit does not presume to give authordj to violate or cancel the provision of any Other state or local law regulating wnslructun <br />inat I eedcaner ofthis praperry to pedorm Na work lei which applKonan is made and I compy wN the State Convectors Lew ta27 RCW and 296.200A WAC. <br />12/3/12 (Revised 512012) <br />nerlAut oozed Agen SI azure <br />Date <br />