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5730 8TH DR W 2018-01-16
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5730 8TH DR W 2018-01-16
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Last modified
1/16/2018 9:15:53 AM
Creation date
1/16/2018 9:15:51 AM
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Address Document
Street Name
8TH DR W
Street Number
5730
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� PERMIT APPLICATION� <br /> BUILDING / MECHANICAL/ PLUMBING I 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 INFORM�TIt?N <br /> PROJECT SITE ADDRESS:5730 8th Dr W PROPERTY TAX#:01036600003200 <br /> LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: TErry Slllll TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: srReeT 5730 8th Df W <br /> CITY Everett STATE Y Y^ ZIP 98203 <br /> OWNER PHONE:4254070920 OWNER EMAIL: <br /> CONTRa,CTOR NannE:WASHINGTON ENERGY SERVICES <br /> CONTRACTOR AD�RESS: sTReer 3909 196TH ST SW <br /> cin LYNNWOOD STATE WA ziP 98036 <br /> CONTRACTOR PHONE:206-378-6648 CONTRACTOR EMAIL:deagle@washingtonenegy.com <br /> CONTRACTOR LICENSE#(REQUIRED):WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): �J4773 <br /> _ <br /> . �— � _ _. <br /> PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-378-6648 <br /> DeAn na Eag le CONTACT EMAIL:deagle@washingtonenergy.com <br /> BUILDING P�RMIT�YPP4[CATI�iN <br /> Existin Use of Buildin : Contract Price of Work:$2aoo <br /> Proposed Use of Buildin : Heat Source: ❑Gas ❑Electric ❑Other <br /> Buildin T pe: �SFR-Detached ❑SFR-Attached �uplex ❑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 <br /> ASSOCIATED BUILDING PERMIT# if a licable : <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn Alteration Repair Type of Project: New _Addn Iteration Repair <br /> #of List of Fixtures #of List of Fixtures #�� List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <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: Clothes 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 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 6efore being authorized under any circumstance.1 am the owner,or 1 am authorized by the owner of this property to pertorm the work for whrch 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 /> PE I # � � ��� <br /> Ethan Onat -%�----�m---�•.��m�--•�� o3/2z/�� <br /> Owner/Authorized Agent Signature m� Date (Revised 10/12/2015) <br />
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