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0 <br /> PERMIT APPLICATION <br /> BUILDING/ MECHANICAL / PLUMBING /SIGN / SPRINKLER / DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 j FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS-1920 Virginia Ave PROPERTY TAX#:00438438602300 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Marlena Bricker TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 1920 Virginia Ave <br /> CITY Everett S-ATE WA zip 98201 <br /> OWNER PHONE:425-259-6295 OWNER EMAIL: <br /> CONTRACTOR NAMEWASHINGTON ENERGY SERVICES <br /> CONTRACTOR ADDRESS: STREFT3909 196TH ST SW <br /> crrY LYNNWOOD STATE WA 7;p 98036 <br /> CONTRACTOR PHONE:206-378-6927 CONTRACTOR EMAIL:eonat@washingtonenegy.com <br /> CONTRACTOR LICENSE#(REQUIRED)!WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 54773 <br /> PRIMARY CONTACT: ❑OWNER MCONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-378-6927 <br /> Ethan Onat CONTACT EMAIL:eonat@washingtonenergy.com <br /> BUILDING'i PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work:$1500 <br /> Proposed Use of Building: Heat Source: ]Gas []Electric []Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Farnily-#of Units= ❑Commercial ❑Industrial <br /> Type of Project: El New ❑Addition ❑Remodel ❑Re air ❑T.I. []Sign ❑Sprinkler ❑Demolition ❑Change 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 _Alteration ,_Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of #of #of #of <br /> List of Fixtures List of Fixtures List of Fixtures List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units meat Pump Toilet Backflow Preventer Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> I Water Heater Refrigeration iShower 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/Mo fete.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Number of Heads <br /> ACKNOWLEDGEMEN, i have reviewed this application and confirm the information contained herein is tn:e and correct. Work done pursuant to this permit must comply with <br /> current federal,state,and local taw. The granting of s pennit only authorizes approved work and no deviations therefrom Deviations must first be authorizedin writing from the <br /> Building Officiai before being authorzedi under any circumstance I am the owner,or i am authorized by the owner of this property to perforrti ti-,e worf�ibr which application is made, <br /> and I comply math the State Contractors Law 18 27 RCW and 298 200/4 WAC <br /> City of Everett Jffici<,t Usa C)n3y <br /> PERMIT <br /> 07106,,6 to 0 7 z <br /> OwnerlAufhorized Agent Ign rice Date fRevised f(Vf212015) <br />