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MT 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 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: 8408 18th Ave W Unit 10-103, Everett WA 98204 PROPERTY TAX#: 00705401010300 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Elizabeth Keast TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET Same as Project Site Address <br /> CITY STATE ZIP <br /> OWNER PHONE: 425-353-2252 OWNER EMAIL: bethe.traveler@frontier.com <br /> CONTRACTOR NAME: Home Run Solutions, LLC <br /> CONTRACTOR ADDRESS: STREET 16825 48th Ave W STE 315 <br /> CITY Lynnwood STATE WA LIP 98012 <br /> CONTRACTOR PHONE: 425-320-4786 CONTRACTOR EMAIL: jacoh@homerunsollltionsllc corn <br /> CONTRACTOR LICENSE#(REQUIRED)::, HOMERSL941 BT CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 58161 <br /> PRIMARY CONTACT: D OWNER L?/CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-533-7896 <br /> Jacob Thompson CONTACT EMAIL: jacob@homerunsolutionsllc.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Residential Contract Price of Work: $ '&,-;„,..„--- 90 V __ <br /> Proposed Use of Building: No Change Heat Source: ❑Gas;,,- VElectric DOther <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex Multi-Family-#of Units: 10 ❑Commercial ❑Industrial <br /> Type of Project: ONew ❑Addition I Remodel ❑Repair DTI ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Interior remodel including updates to kitchen, powder room and interior. To include <br /> removal of interior non-load bearing walls and addition of interior walls for new coat <br /> closet. <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 VAlteration Repair <br /> #of #of #of #of <br /> List of Fixtures List of Fixt List of Fixtures Lis fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump I Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler I Lavatory(Wash Basin) Drinking Fountain <br /> r Water Heater Refrigeration Shower Floot-Drain <br /> Gas Fireplace WOtod Stove I Kitchen Sink&Disposal Grease Trap <br /> Gas Range ucting 1 Dishwasher Roof Drains <br /> I Clothes Dryer Hookups r\ Other: 1 Clothes WasherMedical Gas <br /> Range HoodV Water Heater Other: <br /> Exhaust Fan I Sink(Service/Bar/Mop .) Other: <br /> SPRINKLER/ SUPPRESSION SYSTEM <br /> Chemical or Water I No. 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 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 /> P 7 t(gpq .___ ci.....ks <br /> Owner/Author' d Agent Signature Date (Revised 9/23/2016) <br />