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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 /> PROJECT SITE ADDRESS:7207 EVERGREEN WAY PROPERTY TAX#:28050700203700 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER NAME: YJ PIONEER LLC TENANT BUSINESS NAME(Commercial): Smart Dog Daycare <br /> OWNER MAILING ADDRESS: sTREET5015 DOVER ST <br /> ciry EVERETT STATE WA ZIP 98203 <br /> OWNER PHONE: 206-335-0883 OWNER EMAIL:YJPIONEERLLC@GMAIL.COM <br /> CONTRACTOR NAME:EVEN FLO HEATING AND AIR CONDITIONING INC. <br /> CONTRACTOR ADDRESS: STREET 2006 196TH ST SW SUITE 105 <br /> CITY I VNNWnnn STATE WA ZIP 98036 <br /> CONTRACTOR PHONE:425-381-0400 CONTRACTOR EMAIL:INFO @ EVE N FLOH EATI NG.COM <br /> CONTRACTOR LICENSE#(REQUIRED):EVENFFH895L9 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 49656 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-381-0400 <br /> ALAN PUERSCHNER CONTACT EMAIL:ALAN @ EVENFLOHEATING.COM <br /> Existing Use of Building: Contract Price of Work:$ <br /> Proposed Use of Building: Heat Source: OGas DElectric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex DADU ❑Multi-Family-#Units: ✓❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair I]T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: INSTALL 50' ROOFTOP GAS PIPE. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> Fixture ■ I Fixture Fixture <br /> Count List of Fixtures - List of Fi Cou.J Listof Fixtures Count List of Fixtures <br /> A/C—Air Handling Units j�M Gas Piping —1W B'ow Preven • ide Bldg) —Shower,Tub,or Combo <br /> Boiler Clothes Washer _Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer —Heat Pump&Ductless _Dishwasher —Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) —Refrigeration —Drinking Fountain —Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilatio —Floor Drain —Toilet <br /> Exhaust Hood(Type I) -(Not Heat/AC system) —Hose Bibb —Urinal <br /> Exhaust Hood(Type II) _Water Heater —Interceptor-Grease —Waste/Water Piping Repair <br /> Exhaust Hood(Residential)—Wood Stove —Interceptor-Sand/Oil _Water Service(behind meter) <br /> Forced Air Systems —Other: —Medical Gas —Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log _Roof Drains —Water Heater <br /> `4 °p� : . Sewage Ejector or Sump Pump Other: <br /> � ���- <br /> Water Suppression System —No.of Heads <br /> Chemical Suppression System —No.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 Only <br /> L PERM #. <br /> 41, <br /> .wner/Authorize - ,ent Signature Date (Revised 10/10/2018) <br />