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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: 823 108th PL SE PROPERTY TAX# P RMIT# <br /> 00892200000900 ,j } n <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER Tedd Sawyer Phone/E-mail 425-355-5656 <br /> Address 823 108th PL SE City/State/Zip Everett, Wa 98208 <br /> APPLICANT:_Owner Owner's Agent X Contractor Contractor's Agent Tenant(must provide a letter of consent from the owner to do work in 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 Lucinda Honeycutt <br /> Phone/E-mail 206-378-6735 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 5500.00 <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 X Addition _Remodel —Repair_T.I._Sign_Sprinkler_Demolition_Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Add AC To Existing HVAC System <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn X 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 /> 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 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 complied <br /> with whethgr sAecified 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 Auth rizpd by the owner 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 /> &,, nature <br /> 4/18/2016 <br /> 61 er/AuthorizDate (Revised 6/2012) <br />