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To: E Page 2 of 3 2016-07-05 13:23:56 (GMT) 18884000383 From: Deborah Shields <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 /> SITE ADDRESS: PROPERTY TAX# P T�#�� <br /> 2901 HEWITT AVE 00593665500900 <br /> LEGAL for new construction: Short Plat/subdivision ___Lot No. (attach copy of long legal description) <br /> OWNERJAMES ABBOTT BUCK AMERICAN CAFE Phone1E-rnail425-239-7819 <br /> Address2901 HEWITT AVE city/state/zip EVERETT 98201 <br /> APPLICANT: Owner _Owner's Agent __Contractor ✓ Contractor's Agent _Tenant(must provide a letterof consent from the owner to do work in the space) <br /> CONTRACTOR Washington Energy Svcs Co, LLC State Lic.#WASH IES851 NS City Bus. Lic.# 054773 <br /> Address 3909 196th St SW, Lynnwood, WA 98036 Phone/Email800-398-4663 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Jennifer Covello/jennifer@nwpermit.com nwpermit.com 206-774-9499 <br /> Phone;E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 0:3,97 10 <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas Vol,I Electric Other <br /> Building type: ❑Single Family Duple Townhousei-Family Commercial <br /> Type of project: New Addition Remodel Re air T.I. Sin_Sprinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> REPLACE GAS WATER HEATER <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project Net Addn 1/ Iteration_Repair Type of ProjectE:Ne ddr Alteration_Repair <br /> Show Number # of fixtures Show Number # of fixtures <br /> A/C—air handling units Toilet <br /> Forced airs stems 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 j Sink (service/bar/mop/etc.) <br /> I Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler Dri king Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> I Ducting ( Roof drains <br /> Ocher i Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM <br /> Other: <br /> i <br /> Number of Heads Other: <br /> I hereby certify that 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 comp) <br /> with whether specified 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 authorized 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 /> Jennifer CovelloDigitally signed by Jennifer Covello <br /> Date:2016.07.0506:19:54-07'00' 07/05/2016 <br /> Owner/Authorized Agent Signature Data (Revised 9/2014) <br />