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3311 WAVE DR 2020-01-30
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3311 WAVE DR 2020-01-30
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1/30/2020 3:31:59 PM
Creation date
1/30/2020 3:31:14 PM
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Address Document
Street Name
WAVE DR
Street Number
3311
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4477". . 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 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:331 1 Wave Drive Everett, WA 98203 PROPERTY TAX#:00571700700402 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Mark Lesyna TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: sTREET3709 Shore Ave <br /> c, y Everett STATE WA ZIP 98203 <br /> OWNER PHONE:425-931-4465 OWNER EMAIL:MarkLesyna@hotmail.com <br /> CONTRACTOR NAME: <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: I]OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: <br /> CONTACT EMAIL: <br /> BUILDING INFORMATION 1 <br /> Existing Use of Building:Single family Residential Contract Price of Work:$ I D,ODD <br /> Proposed Use of Building:Single family Residential Heat Source: ❑Gas DElectric ❑Other <br /> BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ✓❑Remodel ❑Repair ET]. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Replace walls around stairwell with railings. Remove dining room wall with sink. Wall off front entry <br /> closet and install tub and exhaust fan in guest bathroom. Full kitchen remodel: move all appliances, remove wall, build pantry. <br /> Relocate master bath toilet, sink. Remove wing wall and shower, replace with new wing wall and tub/shower. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBIMG PERMIT APPLICATION <br /> Fixture Fixture Fixture amu_ Fixture List of Fixtures List of Fixtures <br /> Count Count List of Fixtures List of Fixture: Count <br /> o NC–Air Handling Units 0 Gas Piping 0 Backflow Preventer(Inr,.ie I3ldg) (Shower,Tub,or Combo <br /> 0 Boiler 0 Gas Range 0 Clothes Washer — 0 JSink-Commercial(3-comp,prep,floor) <br /> O Clothes Dryer 0 Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> O Duct System(Remodel) 0 Refrigeration 0 Drinking Fountain 0 Sink-Utility,laundry,mop <br /> 1 Exhaust Fans(Residential) Commercial Ventilation 0 Floor Drain 1 Toilet <br /> 0 Exhaust Hood(Type I) 0 (Not Heat/AC system) 0 Hose Bibb 0 Urinal <br /> o Exhaust Hood(Type II) 0 Water Heater 0 Interceptor-Grease Waste/Water Piping Repair <br /> 1 Exhaust Hood(Residential) 0 Wood Stove 0 Interceptor-Sand/Oil 0 Water Service(behind meter) <br /> 0 Forced Air Systems Other: 0 Medical Gas Water Valves or Fixtures <br /> 0 Gas Fireplace/Insert/Log o Roof Drains 0 Water Heater <br /> SPRINKLER/SUPPRESSION SYSTEM 0 Sewage Ejector or Sump Pump Other: <br /> Water Suppression System a !No.of Heads o <br /> Chemical Suppression System o INo.of Heads o <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 /> 'C�.G� ,� <br /> City of Everett Official Use Only <br /> 12/0/1g. PE g 2.-- l IBJ <br /> Owner/Authorized ent Signature (Revised 10/10/2018) <br /> kSig 3 14 <br />
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