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PERMIT APPLICATION <br /> 0/090. BUILDING I MECHANICAL/PLUMBING I SIGN I SPRINKLER,!DEMOLITION <br /> ,,�, CITY OF EVERETT PERMIT SERVICES <br /> y 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 1(E)everetteps@everettwa.gov l www.everettWa.govtpermits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 2314 8th ST PROPERTY TAX#: 00497100005000 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Bill Taylor TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 2 314 8th St <br /> err( Everett STATE Wa zip 98208 <br /> OWNER PHONE: 425-303-8555 OWNER EMAIL: <br /> CONTRACTOR NAME: Bobs Heating <br /> CONTRACTOR ADDRESS: STREET 14148 NE 190th St <br /> CITY Woodinville STATE Wa ZIP 98072 <br /> CONTRACTOR PHONE: 800-840-3346 CONTRACTOR EMAIL: lhoneycutt@bolsheating.corn <br /> CONTRACTOR LICENSE#(REQUIRED)':BOBS HHA8 5 3NQ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 054967 <br /> PRIMARY CONTACT: 0 OWNER is CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: Lucinda Honeycutt CONTACT PHONE: 206-378-6735 <br /> CONTACTEMAIL: lhoneycuttobsheating.com <br /> BUILDING PERMIT APPLIC <br /> Existing Use of Building: SFR Contract Pric of Work:$ <br /> Proposed Use of Building: Heat Source: ❑Gas Electric El Other <br /> Building Type: OSFR-Detached OCSFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial El Industrial <br /> Type of Project: ❑New ❑Addition EaRemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: add ductless heat pump <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New Addn Alteration _Repair Type of Project: _New Addn _Alteration _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 Handling Units 1 Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal, <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink B Disposal Grease Trap <br /> Gas Range Ducting. Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other. Clothes Washer Medical Gas <br /> Range Hood Water Heater Other'. <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <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 em 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 e State Contract rs Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERM_ <br /> 6/2 8/17 ^ (�� - <br /> Owner/A thorized Agent Signature Date (Revised 5/20/2016) <br />