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0 0 <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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: PROPERTY TAX# <br /> 5404 Wetmore Ave 100495800101000 1 1 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER John Ze er Phone/E-mail 425-335-0400 <br /> Address 5404 Wetmore Ave City/State/Zip Everett, Wa 98023 --� <br /> APPLICANT: Owner Owner's Agent X Contractor Contractor's Agent Tenant(ri provide a letter of consent from the owner to do woi n me space) <br /> CONTRACTOR Bobs Heating and A/C L&1 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 James Gosnell <br /> Phone/E-mail 206-378-6723---t--------, <br /> BUILDING <br /> 06-378-6723.— <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF W K <br /> Existing Use of Building —F#EA�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 Addition Remodel Repair_T.I. Sign_Sprinkler_Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): Like for like gas furnace Changeout <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New_Addn _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 /> 1 Forced air systems Bathtub <br /> Gas piping Lavator '(wash basin) <br /> Water heater Shower 'I" <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 h ead and examined this application and know me,Io�e true and correct.All provisions of laws and ordinances governing this type of work will be complied <br /> with whether sp ied rein or not.The granting of a per ' es not presume to give authority to violate or cancel the provision of any other state or local law regulating construction <br /> Th7,onzed the owner of this prope perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> 1/4/17 <br /> w r/A ori Agent Signature Date (Revised 6/2012) <br />