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0 <br /> PERMIT APPLICATION <br /> BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> OL 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:4906 Seahurst Ave PROPERTY TAX 4:29043600302500 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Tim MalkOW TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: ST11IT4906 Seahurst Ave <br /> C,, Everett STATE WA ZIP 98203 <br /> OWNER PHONE:4253153018 OWNER EMAIL: <br /> CONTRACTOR NAME:WASHINGTON ENERGY SERVICES <br /> CONTRACTOR ADDRESS: STREET 3909 196TH ST SW <br /> CITY LYNNWOOD STATE WA ZIP 98036 <br /> CONTRACTOR PHONE:206-378-6927 CONTRACTOR EMAIL:eonat@washingtonenergy.com <br /> CONTRACTOR LICENSE#(REQUIRED):WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE#(REQUIRE: 54773 <br /> PRIMARY CONTACT: ❑OWNER IZICONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-378-6927 <br /> Ethan Onat CONTACT EMAIL:eonat@washin onenergy.com <br /> BUILDING PERMIT APPLIIATION <br /> Existin Use of Building: Contract Price of Wo $7000 <br /> Proposed Use of Building: Heat Source: []Gas ❑Electric ❑Other <br /> Building Type: QSFR-Detached ❑SFR-Attached muplex ]Multi-Famil -#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Re air ❑T.l. ❑Sin ❑Sprinkler `- ❑D molition ❑Chan e of Use <br /> DESCRIPTION OF WORK: <br /> Replacing the boiler. <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New Addn LIAlteration _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 /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ductin Dishwasher Roof Drains <br /> Clothes Dryer Hookups 1 Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink (Service/Bar/Mop/etc.), Other: <br /> SPRINKLER/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 I am authorized by the owner of this property to perform the work for which application is made, <br /> and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMq# <br /> Ethan Onat --- «•- 06/07/17 <br /> Owner/Authorized Agent Signature M Date (Revised 10/12/2015) <br />