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PERMIT APPLICATION <br /> �,f BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION <br /> mo' _, 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: 2925 WETMORE AVE PROPERTY TAX#: 00439168401100 <br /> LEGAL for new construction: Short Plat/subdivision EVERETT PLAT OF BLK 684 D-00 Lot No. 11 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: UNJU KIM &DAVID MILLER TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 3404 NE BLAKELEY ST <br /> ciTY SEATTLE STATE WA ZIP 98105 <br /> OWNER PHONE: OWNER EMAIL: SUNRICE@SUNRICE.NET <br /> CONTRACTOR NAME: WILCOX CONSTRUCTION <br /> CONTRACTOR ADDRESS: STREET 234 5TH AVE SOUTH <br /> cnY EDMONDS STATE WA ZIP 980 <br /> CONTRACTOR PHONE: 425-774-4185 CONTRACTOR EMAIL: KTRESTER@WILCOXCONSTR •C •N.C•M <br /> CONTRACTOR LICENSE#(REQUIRED): WILCOC*194Q0 CITY OF EVERETT BUSINESS LICENSE#(REQUIREI 2555559 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR MOTHER(Please Specify) DESIGNER <br /> CONTACT NAME: CONTACT PHONE: 206-792-9396 <br /> WESLEY PIERCE CONTACT EMAIL: WES@WESPIERCE.COM <br /> -17 BUILDING.PERMIT APPLICATIO <br /> Existing Use of Building: RESTAURANT Contract Price o Work:$ 0 • <br /> Proposed Use of Building: NO CHANGE Heat Source: RG- • - -!Z er <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: jgCommercial ❑Industrial <br /> Type of Project: ONew DAddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler Rbemolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> DEMOLITION OF INTERIOR PARTITION WALLS, INTERIOR FINISHES, <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 I 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 /> 40454.&14e — 20 Nov 2017 PEPlg <br /> fl,\ w O2/ <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />