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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN!SPRINKLER 1 DEMOLITIQN <br /> CITY OF EVERETT PERMIT SERVICES <br /> -3200 CEDAR STREET,EVERETT,WA 9$201 <br /> (P)425-257-8810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� www.everettwa.gov/permits <br /> (Blue or Black lnk Only Please} `PRf�JEC7 SITE INFORMA710N <br /> PROJECT SITE ADDRESS: 1922 112th PL SE PROPERTY TAX#: 00537900004402 <br /> LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal descriptiony <br /> CONTACT INFORMATION <br /> OWNER NAME: Mark Yasutake 'fENANT NAME(If Commerctal): <br /> OWNER MAILING ADDRESS: srneer 1922 112th PL SE <br /> crrv Everett 9TATE Wa LP 98208 <br /> OWNER PHONE: 808-392-3724 OWNER EMAIL: <br /> CONTRACTORNAME; Bobs Heating <br /> CONTRACTOR ADDRES8: S7REET 1414 8 NE 19 0 th S t <br /> �m. Woodinville sTATE Wa z�P 98��2 <br /> CONTRACTORPHONE: 800-840-3346 CONTRACTOREMAIL: lhoneycutt@bobsheating.com <br /> GONT'RACTi7ft.LICEN3E#(R�Q{JIREI7j:BOBS HHAH S 3 NQ GITY OF EVERETT BUSINESS LICENSE�R(i2EQUIRED): 0 5 4 9 6 7 <br /> . . . . _ � . � ...... _ ..e� __ _._� .__ _ ._ _r_... _ .. ___ _ ,.. �.__. .�.._ __ __ <br /> PRIMARY CdNTACT: ❑OWNER �CONTI2AGTOR CI OTHER(Piease Specfiy) <br /> CONTACTNAME: LuCirida HOrieyCutt GONTACTPHONE; 206-378-6735 <br /> CONrAc'r ennAit: lhoneycutt@bobsheating.com � <br /> SUILDING PERM17 APPLICATION <br /> Existin Use of Buildin : S FR Contract Price of Work:$ 5500.00 <br /> Proposed Use of Buitding: Heat Source: ❑Gas L�Electric f70ther <br /> Buildin T e: ❑SFR-Detached [SSFR-Attached ❑Du lex ❑Multi-Famil -#of Units: ❑Commercial ❑Industriai <br /> T e of Pro ect: ❑New �Addition �Remodel ❑Re air OT.I. ❑Si n ❑S rfnkler ❑Demoiition ❑Chan e of Use <br /> DESCRIPTION OF WORK: add ductless mini split <br /> ASSOCIATED BUILDING PERMIT# if a licable: <br /> MLCHANICAL PCRMIT APALICAT119N PLUMBINO PCRMIT APPLICATION <br /> Typo of ProJect: _New� Addn ,_,,,Alteratlon _Repair Type of Project; _New _/4ddn �IteraUon _Repalr <br /> #of �►Ht of F/xtures #°f Llaf of Flxiures #pf Llst of Flxtures #of Ltst of Flxtures <br /> Flxtures Flxturea Flxtures FJxtures <br /> A/C—Air Mettdlin Units Heat Pump Toilet Backflow Praventer lnstde Bld <br /> Foreed Afc S sfems Unk Heater Bathtub Urtnal <br /> Gas Pi ing Boiler lav�tory �Ilash Basin Drinkin Fountain <br /> Water Heater Refri eration Shower FloorDrain <br /> Gas Fire lace ., Wood Stove Kitehen Sink&'pRs 4sal Grease Tra <br /> Gas Range ` Ductin Diahwasher Roof Dratns' <br /> Clothes C) erHpoku 5 Other. " Clothes Washer Medicai Gas <br /> Ran e Mood Water Heater Other: <br /> Exhaust Fan Sink Serv►ceJB�dMo;/,eic: Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Number of Heads <br /> ACKNOWLEDGEMENT.•J have reviewed thls application and conNrm the Informatlon contaitted herein Is true and correct.Work done pursuant to thls permrf must comp/y wrfh <br /> current federal,state,end loca/law.Tha granNng of a perm/t on(y authorizes approved work and no deviatlons therefrom,Devlations must flrsf be authorized in wr/ting from the <br /> Bullding Offlclai before betng authorized unde�any circumsfance.I am the owner,or 1 am authorized 6y the owner of thls properfy to perform tAe work for which appilcatlon is made, <br /> and 1 comply wlth the State Contractors Law 18.27 RCWand 296 200A WAC. <br /> City of Everet!Ofl7cta!Use Only <br /> PERMIT#� ' � �, i � <br /> 9/28/17 11 l 1 L <br /> OwnerlAuthorized Agent Sfgnature Date (R@vlsod fa/TO/20y6): <br />