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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 /> ~PRti�iEGT SiTE INFORMATIt'�1�1 <br /> PROJECT SITE ADDRESS: 1 127 HOyt AVe PROPERTY TAX#:00468622100200 <br /> LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br /> CONTACT 1NFORMATION <br /> OWNER NAME: ROCII BOyd TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: srReeT 1 127 HOyt Av@ <br /> �„� Everett STATE WA Z�P 98201 <br /> OwNER PHONE:4252593756 OWNER EMAIL: <br /> coNT�CTOR NAnne:�NASHINGTON ENERGY SERVICES <br /> eONTRACTOR ADDRESS: srReeT 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): 54773 <br /> ,... . <br /> ,. <br /> PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-378-6648 <br /> DeAn na Eag le CONTAC7 EMAIL:deagle@washingtonenergy.com <br /> BUILa1Ni`ar P�RMfT APPLICATIDN ` <br /> Existin Use of Buildin : Contract Price of Work:$�zoo <br /> Proposed Use of Buildin : Heat Source: ❑Gas ❑Electric ❑Other <br /> Buildin T e: ❑SFR-Detached ❑SFR-Attached �u 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 <br /> ASSOCIATED BUILDING PERMIT# if a licable : <br /> MECHANICAL PERMIT APP�IGATION 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.�eviations must first be authorized in writing from the <br /> Building Official before being aufhorized under any circumstance_I am the owner,or I am authorized by the owner of this property to perform the work for which 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 /> PERMIT# I���_ D I I <br /> Ethan Onat -���--�-��.�-a. �.m•-��� oa/os/�7 l <br /> Owner/Authorized Agent Signaturey� Date (Revised 10/1 2015) <br />