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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: PROPERTY TAX# �IT <br /> 1710 Pine St 00605400601100 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER Sherri Keene Phone/E-mail 425-257-9177 <br /> Address 1710 Pine St city/State/zip Everett,Wa 98201 <br /> APPLICANT:_Owner _Owner's Agent X Contractor _Contractor's Agent _Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR Bobs.Heating and NC L&I Lic.# BOBSHHA853NQ COE Bus.Lic.# 41388 <br /> Address 14148 NE 190th ST Woodinville Wa 98072 Phone/Email 800-840-3346 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT Lucinda Honeycutt <br /> Phone/E-mail 206-378-6735 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 3100.00 <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas Electric X Other <br /> Building type: X Single Family Duplex Townhouse Multi-Family _Commercial <br /> Type of project: New Addition Remodel X Repair T.I. Sign Sprinkler__Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): Like for like Electric furnace replacement <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn Alteration_Repair Type of Project: _New_Addn _Alteration_Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> NC—air handling units Toilet <br /> Forced air systems Bathtub <br /> Gas piping Lavatory(wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER/SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I hereby certify that I have read and examined this application and know the same to be true and correct.AU provisions of laws and ordinances governing this type of work will be complied <br /> with whether specified herein or not.The granting of a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction <br /> That I am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> (4111.—j dIT15149( 1/4/17 <br /> Owner/Authorized Agent Signature Date (Revised 6/2092) <br />