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PERMIT APPLICATION <br /> BUILDING /MECHANICAL/ PLUMBING 1 SIGN /SPRINKLER/DEMOLITION <br /> "IIPP4/// :":4 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: 8 01 Grand Ave PROPERTY TAX#:29051800100200 (Parcel#) <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: McNamara, Paul & Becky TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 801 Grand Ave <br /> CITY Everett STATE WA ZIP 98201-1303 <br /> OWNER PHONE: 402-926-8013 OWNER EMAIL: BeckyMcl l @Yahoo.COm <br /> CONTRACTOR NAME: Olympic Mechanical, InC. <br /> CONTRACTOR ADDRESS: STREET 21718 66th Ave W, Suite 207 <br /> c,n Mountlake Terrace STATE WA MP 98043 <br /> CONTRACTOR PHONE: 425-344-9140 (Cell) CONTRACTOR EMAIL: Steve@OlympicMechanical.com <br /> CONTRACTOR LICENSE#(REQUIRED): OLYMPMI17001 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):019260 <br /> PRIMARY CONTACT: 0 OWNER ®CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-344-9140 Cell <br /> Steve Elder CONTACT EMAIL: Steve©OlympicMechanical.com <br /> BUILDING PERMIT APPLICATION -- <br /> Existing Use of Building: Contract Price of W `—1bO, / <br /> Proposed Use of Building: ❑Gas ❑Electric ❑Other <br /> Buildin• T .e: ❑SFR-Detached - ched ❑Duplex ❑Multi-Family-#of Units ❑Industrial <br /> T •- . _.,.; II few ❑Addition ❑Remodel ❑Re.air ❑T.I. ❑Si.n ❑S•rinkler El Demolition ❑Chan•eofUse <br /> DESCRIPTION OF WORK: <br /> "Like for Like"Replacement of Existing Failed House Gas Furnace located in the Garage <br /> )r <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: . ,Repair Type of Project: _New Addn _Alteration Repair <br /> #of List of Fixtures #°f List of Fixtures #of st of Fixtures #of List of ' ures <br /> Fixtures Fixtures Fixtures Fixtures <br /> NC—Air Handling Units Heat Pump Toilet Backflow • eventer(Inside Bldg) <br /> 1 Forced Air Systems Unit Heater Bathtub Urin. <br /> Gas Piping Boiler Lavatory(Wash Basin k'inking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher .oof Drains <br /> Clothes Dryer Hookups Other Clothes Washer Me.'--I Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Se. ce/Bar/Mop/etc.) Other: <br /> SPRINKLER'/SUPPRESSION SYSTEM <br /> Chemical or Water I INo.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 .cal 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 big authorized un.=r 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 1te Contractors - 18.27 RCW and 296.200A WAC. <br /> / City of Everett Official Use Only <br /> // s/� PER <br /> /*.44/» .f % 11/22/2017 n \ L <br /> err er/A f" ./e•..gent Signature Date (Revised 9/23/2016) <br />