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PERMIT APPLICATION <br /> BUILDING I MECHANICAL I PLUMBING /SIGN /SPRINKLER I DEMOLITION <br /> 44//P447.1:*?/1':"71 <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: PROPERTY TAX#: w <br /> 3903 Friday Ave 00470700500103 <br /> LEGAL for new construction: Short Plat/subdivisionLot No. (attach copy of long legal description) <br /> ' CONTACT INFORMATION ', <br /> OWNER NAME: Tyson Bailey TENANT NAME(if Commercial): <br /> OWNER MAILING ADDRESS: STREET 3903 Friday Ave <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE:206-595-6596 OWNER EMAIL: <br /> CONTRACTOR;NAME:WASHINGTON ENERGY SERVICES <br /> CONTRACTOR ADDRESS: STREET 3909 196TH ST SW - <br /> • <br /> CITY LYNNWOOD STATE WA ZIP 98036 <br /> CONTRACTOR PHONE:206-378-6648 'CONTRACTOR EMAIL:vstephenson@washingtonenegy.com <br /> GONTI CTOR LICENSE I#LICENSE ittRECIttiREDy WASHIES851 NS etTY OF EVERETT BUSINESS LICENSE#(REQUIRED) 54773 <br /> PRIMARY CONTACT: 0 OWNER <br /> CONTRACTOR 0 OTHER(Please Specify), <br /> CONTACT NAME: CONTACT PHONE:206-378-6648 <br /> Vanessa Stephenson .. <br /> CONTACT EMAIL:vstephenson@washingtonenergy.com <br /> BUflt1PN0PERMIt AP�,1OATLtN <br /> pWYW(WifIP` _f P t»-"_ - 17). ,•, - •• ,,,,,• - - N <br /> Existing Use of Building: Contract Price of Work:$ C 0 <br /> Proposed Use of Building: _ Heat Source: _❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached Cbuplex ❑Multi-Family-#of Units: Commercial Dindustrial <br /> Type.of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Siign OSprinkler ...❑Demolition .❑Change of Use <br /> DESCRIPTION OF WORK: Installing gas furnace with gas piping, Fireplace with <br /> ' 'n , p gas piping, and <br /> gas piping to customer owned stove, dryer, tankless water heater. <br /> ASSOCIATED BUILDING PERMIT#(if_a licable): <br /> . „, <br /> �;; <br /> MECHANICALPERMIT APPLICATION PLUMBING PEft;NltT APPLICATION; <br /> Type of Project _New Addn �""�Alteration _Repair t .. 1 "� f <br /> mom. t__I- <br /> Type of Project _New _AddnAlteratlon _Repair <br /> #of #of #of #of <br /> List of Fixtures List of Fixtures List of Fixtures List of Fixtures <br /> Fixtures Fixtures 'Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump Bp Toilet ackflow Preventer(Inside Bldg) <br /> i ,Forced Air SystemsUnit Heater Bathtub Urinal <br /> s Gas Piping BoilerLavatory(Wash Basin) Drinking Fountain <br /> `Water Heater Refrigeration Shower Floor Drain • <br /> i 'Gas Fireplace -Wood Stove Kitchen Sink&Disposal Grease Trap - ` <br /> `Gas Range Ducting. Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> FtenExna s odd Water Heater Other: . <br /> � . - <br /> -- Fan . Sink(Service/Bar/Mop/etc). , Other: <br /> a . -, - <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> `1Number 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,Deviations must first be authorized in writing from the <br /> Building Official before being authorized under any circumstance,I am the owner,ori am authorized by the owner of this property to perform the work for which application is made; <br /> arid I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official t Ise Only <br /> PERM! <br /> Vanessa StehensOn G9,al y t L Y' '"" 01;15/,8 /AllI �01 OSt1p <br /> OwnortAuthorized Agent Signature Date (Revised 7011212015) <br />