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4 <br /> PERMIT APPLICATION <br /> 00.1111* 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 /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SiTE ADDRESS: 10518 30th DR SE PROPERTY TAX#: 00852700002900 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME Bob Wood TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 10518 30th DR SE <br /> cur Everett STATE Wa ZIP 98208 <br /> OWNER PHONE: 206-910-3097 JOWNER EMAIL: <br /> CONTRACTOR NAME: Bobs Heating <br /> CONTRACTOR ADDRESS: STREET 14148 NE 190th St <br /> Woodinville STATE Wa ZIP 98072 <br /> CONTRACTOR PHONE: 800-840-3346 CONTRACTOR EMAIL: lhoneycutt@bobsheating.com <br /> CONTRACTOR LICENSE#(REQUIRED):BOBS HHA8 5 3 NQ CiTY OF EVERETT BUSINESS LICENSE#(REQUIRED): 054967 <br /> PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: Lucinda Honeycutt coNTACTPHONE: 206-378-6735 <br /> CONTACT EMAIL: lhoneycutt@bobsheating.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: SFR Contract Price of Work:$ 11500.00 <br /> Proposed Use of Building: Heat Source: [ Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached 13CFR-Attached ❑Duplex ❑Multi-Family-#of Units: DCommercial 0 Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel riRepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: like for like furnace replacement and add AC to hvac system <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 #of #of #of <br /> List of Fixtures List of Fixtures List of Fixtures List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> 1 NC—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> 1 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&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.l am the owner,or i am authorized by the owner of this properly to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAG <br /> dojoCity of Everett Official Use Only <br /> �- 10/23/2017 PERMIT1 1 i ®-D£ 1 <br /> Owner/Authorized Agent Signature Date (Revised 5/20/2018) <br />