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PERMIT APPLICATION <br /> All/PBUILDING/MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> PROJECT SITE ADDRESS:3515 Norton Ave PROPERTY TAX#:00451400300700 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER NAME: Mary McMullen TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTREET3515 Norton Ave <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE:425-339-4130 OWNER EMAIL: <br /> H,,,,. ..,.s>..���.��r.. ....�_ . ,... ,,�•x� .,.,,- »sem <br /> CONTRACTOR NAME:WASHINGTON ENERGY SERVICES <br /> CONTRACTOR ADDRESS: STREET 3909 196TH ST SW <br /> CITY 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 /> PRIMARY CONTACT: ❑OWNER ECONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-378-6648 <br /> DeAn na Eagle CONTACT EMAIL:deagle@washingtonenergy.com <br /> mak � � - p. <br /> 4 <br /> Existing Use of Building: Contract Price of Work:$1400 <br /> Proposed Use of Building: Heat Source: OGas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached muplex DMulti-Family-#of Units: OCommercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign OSprinkler ODemolition OChange of Use <br /> DESCRIPTION OF WORK: <br /> Replacing electrical water heater <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> 7:51 : '775,11:77riZT,177171:1LV , F " <br /> Type of Project: _New _ Addn •Alteration _Repair Type of Project: _New _Addn • Iteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> NC—Air Handling Units Heat Pump —Toilet S 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&Dis•osal S Grease Tra• <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 /> 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.Deviations must first be authorized in writing from the <br /> Building Official before being authorized 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( OnlyO <br /> 02.-- 0( / <br /> Ethan Onat ��-•�-wM�--«-^�*--��-W 02/21/17 PERMI n <br /> Owner/Authorized Agent Signature Date (Revise 10/12/2015) <br />