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� 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 � FAX 425-257-8857 � (E)everetteps@everettwa.gov� www.everettwa.gov/permits <br /> PROJECT SITE`1NFORMATIt)N <br /> PROJECT SITE ADDRESS:6503 EV2fgf@@f1 W2y PROPERTY TAX#:0226738 <br /> LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br /> ���� � CONTACT IMFQRMATION � ��� <br /> OWNER NAME: SpOfty's Beef& Brew TENANT NAME(If Commercial): --'�1 <br /> OWNER MAILING ADDRESS: sTReEr6503 Evergreen <br /> �,n Everett STATE WA Z�P 98203 <br /> OWNER PHONE:425-347-1733 OWNER EMAIL: <br /> coNTRacTOR rvaME:WASHINGTON ENERGY SERVICES <br /> CONTRACTOR ADDRESS: sTReer 3909 196TH ST SW <br /> �,n LYNNWOOD STATE WA Z,P 98036 <br /> CONTRACTOR PHONE:206-378-6648 CONTRACTOR EMAIL:deagle@washingtonenegy.com <br /> CONTRACTOR LICENSE#(REQUIRED):WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE#(REQUIRE �: 54773 <br /> PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) `� <br /> CONTACT NAME: CONTACT PHONE:206-378-6648 <br /> DeAnna Eagle CONTACTEMAIL:deagle@was � o nergy.com <br /> BUIL«DING P�RM1T lIPPCtCAT.IQN '�� <br /> Existin Use of Buildin : Contract Price of Wo :$$500 <br /> Proposed Use of Buildin : Heat Source: ❑Ga ❑Ele ic ❑Other <br /> Buildin T pe: ❑SFR-Detached ❑SFR-Attached mu lex ❑Multi-Famil -#of Units: �❑Commercial ❑Industrial <br /> T e of Pro ect: ❑New ❑Addition ❑Remodel ❑Re air ❑T.I. ❑Si n ❑S rinkler ❑Demolition ❑Chan e of Use <br /> DESCRIPTION OF WORK: <br /> Replacing gas water heater like in kind <br /> ASSOCIATED BUILDING PERMIT#(if a licable : <br /> MECHANI�AL PERMIT ARP►LICA"["ION � � � � PLUMBING�RLRMIT�APPLICATIQN �� <br /> Type of Project: New _ Addn ✓ Alteration Repair Type of Project: New Addn Iteration _Repair <br /> #of List of Fixfures #�f List of Fixtures #�f List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fi�ctures <br /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bld ) <br /> Forced Air S stems Unit Heater Bathtub Urinal <br /> Gas Pipin Boiler Lavato (Wash Basin) Drinkin Fountain <br /> � Water Heater Refri eration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Ran e Ductin Dishwasher Roof Drains <br /> Clothes D er Hooku s Other: Ciothes Washer Medical Gas <br /> Ran e Hood Water Heater Other: <br /> Exhaust Fan Sink Service/Bar/Mo /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 comp/y 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 pertorm 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 /> PE IT# ��� _ O <br /> Ethan Onat -%�e-��-��•�-���-•��� 12/14/16 <br /> Owner/Authorized Agent Signature A Date (Revised 10/12/2015) <br />