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OLT PERMIT APPLICATION <br /> BUILDIN(-FCHANICAL / PLUMBING / SIGN RINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVIC_b <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 /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 3001 Oakes Ave PROPERTY TAX#: 00439071400100 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Snohomish County TENANT NAME(If Commercial): Snohomish County <br /> OWNER MAILING ADDRESS: STREET 3000 Rockefeller Ave <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE: (425)388-3035 ,OWNER EMAIL: Mark.Thunberg©co.snohomish.wa.us <br /> CONTRACTOR NAME: TIVl CINe_c_k2 \JIJAcr l/vc9 J <br /> CONTRACTOR ADDRESS: STREET SSI r < e - <br /> CITYS, O r f\ \I Pcl. ' STATE (1 1V 9,� ZIP GtR 2,tt <br /> CONTRACTOR PHONE:SO4:k - �j j t 'T 14 CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED7Rkci jC j,.2 4 11\41_ CITY OF EVERETT BUSINESS LICENSE#(REQUIR:D):t <br /> PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ® OTHER(Please Specify) Architect <br /> CONTACT NAME: CONTACT PHONE: 425.317.8017 <br /> Scott Adams CONTACT EMAIL: scott@caparchgroup.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Unoccupied Contract Price of Work: $ 720,000 <br /> Proposed Use of Building: Unoccupied Heat Source: ❑Gas ❑Electric DOther <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ®Commercial ❑Industrial <br /> Type of Project: ❑New DAddition DRemodel ®Repair DTI. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Historic restoration of the exterior of an existing building with minor site work <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 /> A/C—Air Handling Units 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&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 /> 4 <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 /> PERM n <br /> 2SLl,� C111(-/ <br /> •wner/Authorized Agent Signature Date (Revised 10/12/2015) <br />