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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 /> PROJECT SITE INF�RMATION ' <br /> PROJECT SITE ADDRESS:�9�8 MeIVICI AV@ PROPERTY TAX#:OO�J447OOZO� 'I OO <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATtON <br /> OWNER NAME: SUSaCI WO�aCIC TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTReer1918 Melvin Ave <br /> �„� Everett STATE WA z�P 98203 <br /> owNER PHONe:425-231-5844 OWNER EMAIL: <br /> coNT�CTOR NAMe:�NASHINGTON ENERGY SERVICES <br /> CONTRACTOR ADDRESS: srReer 3909 196TH ST SW <br /> �,n LYNNWOOD STATE WA Z,P 98036 <br /> CONTRACTOR PHONE:2O6-37$-6644 CONTRACTOR EMAIL:VSte�JIl211S011@W8SI1111gtOf1@fl@g�/.001'1'1 <br /> CONTRACTOR LICENSE#(REQUIRED):WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 54773 <br /> PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:2Q6-37$-6Fj44 <br /> Vanessa Stephenson CONTACT EMAIL:vstephenson@washingtonenergy.com <br /> BUILDiNG PERMIT APPLICATION <br /> Existin Use of Buildin Contract Price of Work: $1000 <br /> Pro osed Use of Buildin : Heat Source: ❑Gas ❑Electric ❑Other <br /> Buildin T pe: ❑SFR-Detached ❑SFR-Attached �u lex ❑Multi-Famil -#of Units: ❑Commercial ❑Industrial <br /> T e of Pro ect: ❑New ❑Addition ❑Remodel ❑Re air ❑T.I. ❑Si n ❑S rinkler ❑Demolition ❑Chan e of Use <br /> DESCRIPTION OF WORK: <br /> Replacing electric water heater like for like <br /> ASSOCIATED BUILDING PERMIT# if a licable : <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New Addn Alteretion Repair Type of Project: New _Addn Iteration Repair <br /> #of List of Fixtures #of List of Fixtures #of Lisi of Fixtures #�f List of Fixtures <br /> Fixtures Fixfures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bld ) <br /> Forced Air S stems Unit Heater Bathtub Urinal <br /> Gas Pipin Boiler Lavato (Wash Basin) Drinkin Fountain <br /> Water Heater Refri eration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink 8�Disposal Grease Trap <br /> Gas Ran e Ductin Dishwasher Roof Drains <br /> Clothes D er Hooku s Other: Clothes Washer Medical Gas <br /> Ran e Hood � Water Heater Other: <br /> Exhaust Fan Sink Service/Bar/Mo /etc. Other: <br /> SPRINKLER!SUPPRES$ION SYSTEM <br /> Number of Heads <br /> ACKNOWLEDGEMENT.I have reviewed this application and confirm the informatron contained herein is true and correct Work done pursuant to this permit must comply with <br /> cunent 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.I am the owner,or I am authorized by the owner of this property to pertorm 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 /> PER�T# �r� ��! d <br /> Ethan Onat E�`��d���e��"����ef°Y`�m 03/30/18 ���b n �i�(� <br /> � aaeso�.iammea�nno�ormisaa�mo�� <br /> OwnerlAuthorized Agent Signature� Date (Revised 10/12/2015) <br />