8816 5TH AVE W 2016-01-01 MF Import

P( RMIT APPLICATI�J11 CITY OF EVERETT PERMIT SERVICES 3200 GEDAR STREET, EVERETT, WA 98201 425-257-8810— FAX 425-257-8857 SITE ADDRESS PARCEL TAX I.D./ PERMI7 x 8816 5th Ave W 28041300206400 �� —�p LEGA LOT N0. . BLOCK TRACT DESC. OWNER P.DORESS ZIP PNONE James Bartell 8616 Sth Ave W 98204 425-438-8021 TENANTNAME I CONTACTNAME PHONE CONTRACTOR AODRESS LP CONTR.UCENSE N Day & �ite , Plumbing 8 Heating , PHa�5-775-6464 5700 B 188th St SW 98037 DAYNIPH044CM PROPOSED USE OF BUILUING Building fXl ivlechanical Addition HEAT SOURCE PERMIT R Combinatian �_� Plumbing WORK � Atteralion J.7 Electric TYPE D Demolition U Sign TYPE New 'K Gas U Sprinkler RepaidMaim. V Other CONTRACT PRICE OF WORK ��.�1(� CITY OF EVERETT LOCAL SALES TAJC CODE IS 3105 WORK DESCRIPTION Replace Furnace with new gas heating system PLUMBING MECHANICAL NO. TYPE O+•FIXTURE OR REM N0. TYPE OF FlXTURE OR REM WATER CLOSET A!C—A/HANDLING UNITS _ BATHTUB � FORCED AIR SYSTEMS _ LAVATORY(WASH BASIN) _ HEAT PUMP SHOWER _ UNIT HEATERS KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER OISHWASHER RANGE HO00 LAUNDRY TRAY T�— WATER HEATER _ CLOTHES WASHER _ METAL FIREPLACE/ST4VE _ . URINAL _ FIREPLACE INSERT. DflINKING FOUNTAIN GAS FIREPLACE FLOOR DRAIN _ GAS RANGE BACKFLOW PREVENTER _ GAS PIPING SINK(SEFVICE/BAR/MOP/ETC.) _ EXHAUST FAN OTHER _ OTHER. , — -- — —I — II HEREBY CEAITIFY THAT�HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE S�ME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO ORIDINACES GOVERN�NG THIS TYPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED HE REIN OR INOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLITE OR CANCEL THE PAOVISION OF A'IY OTHER STATE OR LOCAL L1W REGULATING CONSTRUCTION OR THE PERFOHMANCE OF CONSTRUCTION. THAT I AM AUTHORIZE�BY THE , OWNER OF THI PROPERTY TO PERFORM THE WORK FOfl WHICH APFLICATION IS MADE AND I COMPLY WITH THE STATE CONTRACT S 18.27 RCW D 2�5.200 C. C �/ /9��T2l �YZ Ignat Owne C tra-tor uthon Agent ' Date