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ISO 610% <br /> PERMIT APPLICATIOI' — <br /> BUILDING / MECHANICAL/ PLUMBING/SIGN /SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 4rEn- 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 /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 3125 OAKES AVE,EVERETT,WA 98201 ek PROPERTY TAX#: 00439074000500 <br /> LEGAL for new construction: Short Plat/subdivision Lot (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> c <br /> OWNER NAME: HOUSING HOPE TENANT NAME(If Commercial): 0A-K-65 £?Dtu " eAr3 <br /> OWNER MAILING ADDRESS:'..B-STREE061A31 BROADWAY <br /> cr r EVERETT STATE WA zip 98201 <br /> OWNER PHONE: (425)322 3723 x 269 OWNER EMAIL: toddbullock@housinghope.org <br /> CONTRACTOR NAME: ALLIED CONSTRUCTION ASSOCIATES INC. <br /> CONTRACTOR ADDRESS: STREET 3120 HEWITT AVE <br /> cr w EVERETT STATE WA ZIP 98201 <br /> CONTRACTOR PHONE: 425-259-6057 CONTRACTOR EMAIL: KDBjella@alliedconstruction.net <br /> CONTRACTOR LICENSE#(REQUIRED): ALLIECA008DF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 037622 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR I OTHER(Please Specify) PROJECT MANAGER <br /> CONTACT NAME: SUZANNE DAVIS CONTACT PHONE: 206-852-6966 <br /> CONTACT EMAIL: SUZANNE@THIRDPLACEDESIGNCOOP.COM <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: R-2 RESIDENTIAL Contract Price of Work:$ 93,750.00 <br /> Proposed Use of Building: R-2 RESIDENTIAL Heat Source: ❑Gas EElectric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex NMulti-Family-#of Units: 5 ❑Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ®Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK:. <br /> THE REMOVAL AND REPLACEMENT OF EXISTING ROOFING,SIDING AND WINDOWS. <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 #°f List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> NC-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 I SUPPRESSION SYSTEM <br /> 'Chemical or Water ' 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 /> i PERMI # Q'/�`� <br /> 7.16.18 ( Ov l -n 21 <br /> Owne • • h•led Agent- gnature Date (Revised 9/23/2016) <br />