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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 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> 2 a i:::rr2«., :#R.a, <br /> PROJECT SITE ADDRESS:7213 Yew®pef4 PROPERTY TAX#:00594200401700 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> iyivF � 6 4 <br /> OWNER NAME: Robert Salter TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 7213 Yew Way <br /> cIn Everett STATE WA ZIP 98203 <br /> OWNER PHONE:425-745-5430 OWNER EMAIL: <br /> CONTRACTOR NAME:WASHINGTON ENERGY SERVICES <br /> CONTRACTOR ADDRESS: STREET 3909 196TH ST SW <br /> clTv LYNNWOOD STATE WA ZIP 98036 <br /> CONTRACTOR PHONE:206-378-6927 CONTRACTOR EMAIL:eOnat@Washingtonenegy.co r <br /> CONTRACTOR LICENSE#(REQUIRED):WASH IES851 NS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 5477 <br /> PRIMARY CONTACT: 0 OWNER ECONTRACTOR 0 OTHER(Please Specify) _ <br /> CONTACT NAME: CONTACT PHONE:206-378-6927 <br /> Ethan Onat CONTACT EMAIL:eonat@washingtonenergy.com <br /> • nws <br /> - m b�� . . -, z.,.., :W....,„_,.,.. a.-.. ......� •ate% <br /> Existing Use of Building: Contract Price of Wort$1500 <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Ele ric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached muplex ❑Multi-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 /> Replacing gas water heater. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> Type of Project: _New _ Addn •Alteration _Repair Type of Project: New _Addn M.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 /> NC—Air Handlin. UnitsHeat Pump Toilet Backflow Preventer(Inside Bid.) <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 Fire.lace Wood Stove ®Kitchen Sink&Disposal Grease Trap <br /> Gas Ran•e —Ductin• —Dishwasher Roof Drains <br /> Clothes D er Hooku is —Other: —Clothes Washer —Medical Gas <br /> Ran•e Hood —Water Heater —Other: <br /> Exhaust Fan —Sink Service/Bar/Mos/etc. —Other: <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.lam the owner,or lam 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 /> Vanessa Stephenson ''''' "" °P° � A"""" ""'� 06/08/17 PV11 TnOCC, • 014 O <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />