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PERMIT APPLICATION <br /> BUILDING I MECHANICAL/ PLUM�ING/SIGN I SPRtNKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVECES <br /> 3200 CEDAP.STREET,EVERETT,WA 98201 <br /> (P)425 257-8810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� Nnvw.everettwa.gov/permits <br /> (Blue or Black Ink Onfy Please) PROJECT SITE INFORMATION <br /> PROJECTSITEADDRESS: 1408 HdllOW Dale Pl #A PROPERTYTAX#: OlOO15OO4OOlOO <br /> LEGAL for new construction: Short Plat/subdivision __ Lot No._ (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Gordan HillStdC1 TENANT NAME(If Commercial): <br /> OWNERMAILINGADDRESS: srReer 1408 HdllOw Dale Pl #A <br /> cirr Everett srnTe Wa ziN 98201 <br /> owrveR PHON�: 4 2 5-6 81-4 8 9 3 OWNER EMAI L: <br /> CONTRACTORNAME; BObS Hedting <br /> CONTRACTOR ADDRESS: srReer 1414 8 NE 19�th S t <br /> �i�. WOOdillville STArE Wa ziP 98072 <br /> coNrw�.croR PHotve: 8 0 0-8 4 0-33 4 6 CONTRACTOR EMAIL: lhoneycutt @bobsheat ing. com <br /> CONTRACTOR LICENSE#{REQUIR�D);BOBSHHAH 5 3NQ CITY OF EVERETT BUSINESS LfCENSE#(REQUIRED): O S 4 g F>� <br /> PRIMARY CONTACT: ❑OWNER [�CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACTNAME: LUC1ridd Honeycutt CONTACTPHONE: 2OF-37H-6735 <br /> coNTacT eMAi�: lhoneycutt@bobsheating. com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: S i nCJl e Fami 1�j R2 S COridO Contract Price of Work:$ 2 5 0 0 <br /> Proposed Use of Building: Heat Source: �Gas ❑Electric ❑Other <br /> Bui(ding Ty e: ❑SFR-Detached ❑SFR-Attached �Duplex ❑Multi-Famif -#of Units: ❑Commercial ❑Industrial <br /> T pe of Pro�ect: ❑New ❑Addition �Remodel ❑Repair ❑T.I. ❑Sign ❑S rinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK:like for like furnace replacement <br /> ASSOCIATED BUILD(NG PERMIT#(if applicable: <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New Addn Alteration Repair Type of Project: New Addn Alteration Repair <br /> #of List of Fixtures #of List of Fixfures #of List of Fixfures #of List of Fixiures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air I-landling Units Heat Pump Toilet Backflow Preventer Inside Bldg) <br /> Forced Air Syslems Unit Heater Bathtub Urinal <br /> Gas Piping 8oiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Steve Kitchen 5ink&Qisposal Grease Trap <br /> Gas Ranye Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other, Clothes Washer Medical Gas <br /> Range I-lood Water Heater Other: <br /> Exhaust Fan Sink(Service/BarlMop/etc. Other: <br /> SPRfNfSLEEt/SUPPRESS10�1 SYSTEM <br /> Number of Heads <br /> ACKNOWLEDGEMEN7:!have reviewed this application and contirm the in(ormation contained herein is true and carect.Work done pursuant to this perrnrt must comply wifh <br /> current federal, e,and local faw. The pranting of a permft only autho�izes approved wor/c and no deviations there�rom.Deviafions must first be authorized in writing from the <br /> Building Offici efore being authorized under any circumstance.I am�he owner,or I am authorized 6y the owner of this property to pertorm the worlc for which app/icalion is made, <br /> and I compl w h the Sfate Confractors Law 18.Z1 RCW and 296.200A WAL'. <br /> Ci(y of Everett Oflicial Use Only <br /> PERMIT# <br /> 3/13/17 �'L. ( `j�i' � -- �j� � <br /> Ow e uthorized Agent Signature Date (Revisud a�20/2016J <br />