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4 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 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 10307 Meridian Ave PROPERTY TAX#: 00396900004402 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Brett Webber TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 10307 Meridian Ave <br /> CITY Everett STATE Wa ZIP 98208 <br /> OWNER PHONE: 425-356-9945 OWNER EMAIL: <br /> CONTRACTOR NAME: Bobs Heating <br /> CONTRACTOR ADDRESS: STREET 14148 NE 190th St <br /> „ Woodinville STATE Wa ZAP 98072 <br /> CONTRACTOR PHONE: 800-840-3346 CONTRACTOR EMAIL: lhone ycutt @ bobshea t i n <br /> CONTRACTOR LICENSE#(REQUIREl3)l BOBSHHA8 5 3NQ CITY OF EVERETT BUSINESS LICENSE#(REOUI ): 054 9 67 <br /> PRIMARY CONTACT: 0 OWNER CEI CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: Lucinda Honeycutt CONTACT PHONE: 206-378-6735 <br /> CONTACT EMAIL: lhoneycutt • ••bsheating.corn <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: SFR Contract Price of Wo :$ 9000. 00 <br /> Proposed Use of Building: Heat Source: Deas' . ❑Electric ■tither <br /> Building Type: ❑SFR-Detached L.SFR-Attached ❑Duplex ❑Multi-Fa mily-#of Units: ' ommercial ❑Industrial <br /> Type of Project: ❑New ❑Addition EiRemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK:like for like furnace replacement and add ac to existing hvac <br /> system <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New_ 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 /> 1NC—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> 1 <br /> 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 /> 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.Deviations must first be authorized in writing from the <br /> Building Official before being authorized under any circumstance.I am the owner,ort am authorized by the owner of this properly 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 /> � <br /> 6/7/17 P Y #1 cL, — 03 <br /> O+*er/Authorized Agent Signatur Date (Revise.d 5/20/2016) <br />