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2201 HIGHLAND AVE 2019-11-14
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2201 HIGHLAND AVE 2019-11-14
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Last modified
11/14/2019 11:13:25 AM
Creation date
11/14/2019 11:12:43 AM
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Address Document
Street Name
HIGHLAND AVE
Street Number
2201
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p ,.. <br /> s ice . <br /> CITY OF EVERETT PERMIT SERVICES <br /> ., _ > _ <br /> 1�14L'J-L'J/-00-1U I FJ1J\4LD-kA -O�OJ! I tE1 CVCI CtlCl7J(4.tCVC1 CllWa.yUV I WWYV.eV rrerwn.yuviperinits <br /> .Blue or Black Ink Only. Please) PROJECT SITE INFOP11IATJO:N I <br /> PROJECT SITE ADDRESS: 2201 Highland Ave TPROPERTY TAX#: 00453440200100 <br /> 1LEt AL for new construction: Short Hat/subdivision Lot Na (attach copy or long legal description) 1 <br /> OWNER NAME: Highland Housing TENANT NAME(if Commercial): <br /> 'OWNER MAILING ADDRESS: STREET PO Box 2058 WA <br /> { 3 <br /> CITY Lynnwood STATE ��r V• ZIP `.98036 <br /> .OWNER PHONE: 206-605-8313 OWNER EMAIL: highlandtranSitional pnomail.com <br /> CONTRACTOR ADDRESS: STREET 5633 172nd PI SW 1 <br /> CITY Lynnwood STATE WA ZIP 98037 <br /> CONTRACTOR PHONE: (206)271-2204 CONTRACTOR EMAIL: maccoyhomesolutions@gmail.com <br /> 'CONTRACTOR LICENSE#(REQUIRED): MACCOHS867LZ ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PR1MAR'fi CONTACT: V OWNER Q CON i RA ,TOR u OTHER(Please Specify)NAME: 'CONTACT PHONE: 2066058313 <br /> 1 Briana Nasman CONTACT EMAIL: briana.nasmanagmail.com <br /> BUILDING PERMIT APPLICATION <br /> '':Existiiig 6Wa,kk# ' 4, ,..a <br /> Proposed Use of Building:Transitional housing !Heat Source: OGas ElElectric ClOther <br /> Building Type: VISFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ORemodel ORepair CIT.!. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Bring basement up to code-window wells,redo staircase,install exterior acce emov- : move walls. Move two walls on main floor to make legal bedrooms <br /> tg03-0"5 -e 1- wSVn for dIS irnr <br /> ASSOCIATED BUILDING PERMIT#(if applicable): •- % -=•_ , DIST1804-006 <br /> MECHANICAL PERMIT APPLICATION L PLU ING PERMIT_APPLICATION <br /> "lye of lyrt)ect. riew _ AGid &4# ti ust't`-�l is + `i :" _,a- � s, r aas:�Js: svaro _ <br /> _. _ r _ice: ;: <br /> Fixtures List of Fixtures Fixtures list of Fixtures Fixtures ' List of Fixtures Fixtures List of Fixtures <br /> A/C—Air Handlin• 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 /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> P <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups —Other: Clothes Washer Medical Gas _ <br /> Ran.e Hood Water Heater Other: <br /> =Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> IChernical or Water I "No.of Heads f' l i [ 1 <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 /> 4F9RArc* i y <br /> Owner/Authorized ••ent Signature Da e (Revised 9/23/2016) <br />
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