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#10"*II:A. - <br /> PERMIT APPLICATIdH <br /> BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION <br /> Nvigi <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: 1614 Walnut&C Tr. PROPERTY TAX#: 29051700402200 <br /> LEGAL for new construction: Short Plat/subdivision BLK 314 Everett Div Lot No. 4-022 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Mark Hartwell TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET PO Box 858 <br /> CITY Marysville STATE WA ZIP 98270 <br /> OWNER PHONE: 360.659.0552 OWNER EMAIL: sataracamp@yahoo.com <br /> CONTRACTOR NAME: TBD <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR vt OTHER(Please Specify) Structural Engineer-in-Training _ <br /> CONTACT NAME: CONTACT PHONE: 425.778.8500 <br /> Ben James CONTACT EMAIL: benj@cgengineering.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Residential Contract Price of Work:$ 5000 <br /> Proposed Use of Building: Residential Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex L Multi-Family#of Units: 7 ❑Commercial ❑Industrial , <br /> Type of Project: ❑New ❑Addition ❑Remodel 0Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Replace existing wood framed stairs with new steel framed stairs with precast concrete treads and handrail. <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 /> 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 /> ��/ POI— PERMIT City of Everett Official Use Only <br /> °� /� # - <br /> / //e0ISo7 ®3Cv <br /> j_3: 51) ,_ .u.uthorized A.,..''ignature Date (Revised 9/23/2016) <br />