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RIM PERMIT APPLICATIOm'► <br /> BUILDING—IECHANICAL/ PLUMBING/SIGI 'RINKLER/ DEMOLITION <br /> E V E R E T TCITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue pr.Bla .FAIR QEhFlease}, PROJECT SITE"INFORMATION., <br /> PROJECT SITE ADDRESS:2115 Oakes Ave Everett, WA, 98201 PROPERTY TAX#:00439143800800 <br /> LEGAL for new construction: Short Plat/subdivision EVERETT PLAT OF BLK 438 D-00 Lot No.8&9 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Joshua Hauswirth TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET2115 Oakes Ave <br /> cry Everett STATE WA ZIP 98201 <br /> OWNER PHONE: (970) 529-6143 OWNER EmmL:josh.hauswirth@skanska.com <br /> CONTRACTOR NAME:R&R Foundation Specialist LLC <br /> CONTRACTOR ADDRESS: STREET3409 McDougall Ave suite 204 <br /> cl-,,, Everett STATE WA ZIP 98201 <br /> CONTRACTOR PHONE:(425)760-5077 CONTRACTOR EMAIL:info@rrspecialist.net <br /> CONTRACTOR LICENSE#(REQUIRED):RRFOUFS829DA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 58143 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) Project Coordinator, R&R <br /> CONTACT NAME: CONTACT PHONE:(425)248-8813 <br /> Lauren Chapman CONTACT EMAIL:lauren@rrspecialist.net <br /> =... BUILDING I;NFORMAT)ION. <br /> Existing Use of Building:SFR Contract Price of Work:$13,855.00 <br /> Proposed Use of Building:SFR Heat Source: ❑Gas DElectric DOther <br /> BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU OMulti-Family-#Units: ❑Commercial EAccessory Structure <br /> Type of Project: ONew ElAddition DRemodel ERepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Install (4) 3" helical piles to the Northwestern Corner and (2)3" helical piles to the Southern <br /> wall of the foundation of the residence to lift structure back to practical maximum recovery. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> .;MECHANICA-L,:PERMITAPPLICATION. PLUMBING PERMIT`APPLICATI'ON.. <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> A/C-Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER/,SUPPRESSION.SYSTEM;`,. Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System 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 /> PERMIT# <br /> 7/30/19 0 011 <br /> • ner/A� •nz-• •ent Signature Date (Revised 10 0/201: <br />