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0 PERMIT APPLICATION <br /> BUILDING /MECHANICAL/PLUMBING /SIGN /SPRINKLER/ DERAMANIVAL <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 www.everettwa.gov/permits <br /> :P,ROJECY-SITE_I N FO RMATI O N <br /> PROJECT SITE ADDRESS: 8030 FLORIDA DR. PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION, 11�a, <br /> OWNER NAME: JASON DEAN TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 8030 FLORIDA DR. <br /> crry EVERETT STATE WA ZIP 98203 <br /> OWNER PHONE: 425-478-9841 OWNER EMAIL: <br /> CONTRACTOR NAME: BLUE FLAME HEATING AND AIR CONDITIONING <br /> CONTRACTOR ADDRESS: STREET 7116 220TH ST SW,SUITE 1 1 <br /> cn-y MOUNTLAKE TERRACE STATE WASHINGTON ZIP 9;t- \, <br /> CONTRACTOR PHONE: 425-771-7139 CONTRACTOR EMAIL: INFO@BLUEFLAMECOMFORT.'O1 \ <br /> CONTRACTOR LICENSE#(REQUIRED): BLUEFFH865JB CITY OF EVERETT BUSINESS LICENSE#(RE! ,c D): 052790 <br /> PRIMARY CONTACT: 0 OWNER aCONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-771-7139 <br /> NAQUIN GRAY CONTACT EMAIL: NGRAY@BLUEFLAMECOMFORT.COM <br /> Existing Use of Building: RESIDENTIAL Contract Price of W./:$ 2925.00 <br /> Proposed Use of Building: RESIDENTIAL Heat Source: MG— ❑Electric ❑Other <br /> Building Type: KISFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Unit-: IN Commercial ❑Industrial <br /> Type of Project: ❑New ®Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprin -r ❑i olition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> LIKE AND KIND GAS FURNACE CHANGE-OUT <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MACH,ANIoA ,#ERMITr AP_PL•JcATION4a$1 !i''ua,x : P 0010, P rr. I'P-IQ,IITION <br /> Type of Project: _New _X. Addn Alteration _Repair Type of Project: _New _Addn Alteration _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 Backflow Preventer(Inside Bldg) <br /> 1 Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> 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 /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> ,j'I` ESPR N LEeR I iUPPRESSION,'SYSTE11 ti"'.� alo <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 1 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 /1 / - ^, r <br /> 4/19/17 V\n,� 6� � Ulf <br /> Owner/A prized Agent nature Date (Revised 10/12/2015) <br />