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0 PERMIT APPLICATION <br /> BUILDING / MECHANICAL / PLUMBING / SIGN /SPRINKLER / DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 4e7T 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 /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:2802 Larlln Dr PROPERTY TAX#:00603700007100 <br /> LEGAL for new construction: Short Plat/subdivision Lot No (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Scott Williams TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET2802 Larlin Dr <br /> ,,,,- Everett STATE WA ZP 98203 <br /> OWNER PHONE:425-348-5699 OWNER EMAIL: <br /> CONTRACTOR NAME:WASHINGTON ENERGY SERVICES <br /> CONTRACTOR ADDRESS: STREET 3909 196TH ST SW <br /> CITY LYNNWOOD STATE WA z,, 98036 <br /> CONTRACTOR PHONE:206-378-6644 CONTRACTOR EMAIL:vstephensOn@washingtOnenegy.COm <br /> CONTRACTOR LICENSE#(REQUIRED):WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 54773 <br /> PRIMARY CONTACT: ❑ OWNER IZICONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-378-6644 <br /> Vanessa Stephenson CONTACT EMAIL:vstephenson ashingtonenergy.com <br /> BUILDING PERMIT APPLICATIO <br /> Existing Use of Building: Contract Price of W Irk: $1500 <br /> Proposed Use of Building: Heat Source: ❑Gas" ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached muplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Pro ect: ❑New []Addition ❑Remodel ❑Re air ❑T.I. ❑Sin ❑S rinkler ❑Demolition ❑Chan e of Use <br /> DESCRIPTION OF WORK: <br /> Replacing gas water heater. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New Addn DAteration _Repair Type of Project: New _Addn Iteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> 1 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 I SUPPRESSION SYSTEM <br /> Number of Heads <br /> ACKNOWLEDGEMENT I 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,state,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 Official before being authorized under any circumstance. I am the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC <br /> City of Everett Official Use Only <br /> PERMIT# ' 2 <br /> Vanessa Stephenson == = P" 05/09/17 ` r/ J <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />