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y <br /> , ' �' PERM(T 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.everetfinra.org <br /> APPUCATIONS ARE ACCEPTED FROM 8AM TO 4'PM <br /> SITE ADDRESS: PROPERTYTAX# i # � ('� <br /> 1529 51st PL SW 00742000002500 -- v <br /> LEGAL for new construction: ShoR PlaUsubdivision Lot No. (attach copy of long legal description) <br /> OWNER Alex Olson Pnonele-ma�i 425-422-9182 <br /> Address 1529 51st PL SW c�tyistateiz�p Everett, Wa 98203 <br /> APPLICANT:_Owner _Owner's Agent X Contractor Contractor's Agent _Tenant(musc Pro�ide a iener or cor,sen�trom me owner ro do wur�in�ne space) <br /> CONTRACTOR Bobs Heatin and A/C �&i u�.# BOBSHHA853NQ COE Bus.Lic.# 41388 <br /> Address 14148 NE 190th ST V1/OOdlnville wa 98072 Phone�emai� 800-840-3346 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT , LUCIC1CIa HOCI@yCUtt <br /> Phone�e-rriai� 206-378-6735 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK �4400 <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas X Electric_ Other_ <br /> Building type: X Singie Family _Duplex Townhouse _Multi-Family _Commerciai <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): EleCtflC t0 gaS fUl'h8C@, add ac to:hvae system, add <br /> tankless hot water tank <br /> gas pipe to fiurnace <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn XAlteratlon_Repair Type of ProJect: _New Addn _Alteration_Repalr <br /> Show Number(#)of fintures Show Number(#)of flxtures <br /> A/C-air handlin units Toilet <br /> Forced airs stems Bathtub <br /> Gas i in Lavato wash basin <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas ran e Dishwasher <br /> Clothes d er Clothes washer <br /> Range,hood Water heater <br /> ExhausYfan Sink(service/bar/mop/etc. <br /> Heat um ` Backflow reventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refri eratiorr Floor drain <br /> Woodstove .Grease tra <br /> Ductin Roof drains <br /> Other Medical Gas <br /> SPRINKLER/SUPPRESSION SYSTEM Other. <br /> Number of Heads Other. <br /> I hereby certiFy that I have read and examined this applicaGon and know the same to be true and correct:All provlsions of laws and ordinances goveming this type of work will be complied <br /> with whether specified herein or not.Thegranting of a permit does not presume to give authority to violate or cancel the provision ofanyother state or local law regulating construction <br /> That I am authorized by the owner of this property topedorm thework for which applicatlon Is made and I comply with the State Conhactors Law 18.2F RCW and 296.200A WAC. <br /> Cl��-- 11/28/16 <br /> Owner/Aut Nzed Agent Si ature Date (Revised 6/2012) <br />