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2425 MAPLE ST 2019-02-11
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2425 MAPLE ST 2019-02-11
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Last modified
2/11/2019 1:14:21 PM
Creation date
2/11/2019 1:14:19 PM
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Address Document
Street Name
MAPLE ST
Street Number
2425
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PERMIT APPLICATION <br /> BUILDING/ MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION <br /> /�f" ''_ 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 I www.everettwa.gov/permits <br /> : ., "" `° ,}i r - °ni _ max* <br /> PROJECT SITE ADDRESS:2425 Maple St PROPERTY TAX#:29052000401600 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> ....... ..... RNEM;:•awns:. t' , 1;ff iMr <br /> OWNER NAME: Melissa Griffin TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTREET2425 Maple St <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE:425-985-5949 OWNER EMAIL: <br /> ,,...aa ... <br /> CONTRACTOR NAME:WASHINGTON ENERGY SERVICES <br /> CONTRACTOR ADDRESS: STREET 3909 196TH ST SW <br /> CITY LYNNWOOD STATE WA ZIP 98 <br /> CONTRACTOR PHONE:206-378-6648 CONTRACTOR EMAIL:vStephenSOn@WaShingtonene .CO <br /> CONTRACTOR LICENSE#(REQUIRED):WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE#(REQUI D): 54773 <br /> PRIMARY CONTACT: 0 OWNER ECONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: f'1 CONTACT PHONE:206-378-6648 <br /> Vanessa Stephenson CONTACT EMAIL:vstephenson@washingtonenergy.com <br /> ; f ji i` Oint AP •., <br /> Existing Use of Building: Contract Price of Wo" :$8800 <br /> Proposed Use of Building: _ Heat Source: ❑Ga• ❑Electri• ❑Other <br /> Building Type: ❑SFR-Detached OSFR-Attached muplex DMulti-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ONew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Installing a ductless heatpump. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> 111111111M,HAN.ICALtp00$0 APP s 0.. ..`1 PLu:MB,1„LI ' PLiCA:' <br /> Type of Project: _New _ Addn II Alteration _Repair Type of Project: _New _Addn U,Iteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handlin• Units 1 Heat Pump —Toilet —Backflow Preventer(Inside Bids) <br /> Forced Air S stems —Unit Heater —Bathtub _Urinal <br /> Gas Pipin• —Boiler —Lavato Wash Basin) —Drinkin• Fountain <br /> Water Heater —Refri.eration —Shower —Floor Drain <br /> Gas Fireplace _Wood Stove —Kitchen Sink&Dis.osal —Grease Trap <br /> Gas Ran.e —Ductin• —Dishwasher —Roof Drains <br /> Clothes D er Hooku.s —Other: —Clothes Washer —Medical Gas <br /> Ran•e Hood —Water Heater —Other: <br /> Exhaust Fan —Sink Service/Bar/Mo./etc. —Other: <br /> =s , M PPR eS$ g MSM w,I M <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 Only <br /> PERMIT#• r60 k_0(12, <br /> Vanessa StephensOn '�°"Htyefpnedby°eneeeeStep1rena0n ��l <br /> p wm:zo+e.o+ez ossase near 01/12/18 <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />
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