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PERMIT APPLICATION <br /> AlIIIPBUILDING M AL <br /> I PLUMBING I SIGN , ['WINKLER I DEMOLITION <br /> --• CITY OF EVERETT PERMIT SERVICES <br /> ti� � � 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 QLD q . <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 2215 Pinehurst Ave SE Everett, WA 98203 PROPERTY TAX#: 00544701002900 <br /> LEGAL for new construction: Short Plat/subdivision PINEHURSTBLK010D-00-ALL LOTS 29THRU33 Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Arlington South LLC TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 120 SW Everett Mall Way Suite 200 <br /> CITY Everett STATE WA ZIP 98204 <br /> OWNER PHONE: 425-422-3700 OWNER EMAIL: ClintS30@hotmail.Com <br /> CONTRACTOR NAME: Flatwater Homes LLC <br /> CONTRACTOR ADDRESS: STREET P.O.Box 292 <br /> CITY Woodinville STATE WA ZIP 98072 <br /> CONTRACTOR PHONE: 206-605-1947 CONTRACTOR EMAIL: flatwaterhomes@outlook.com <br /> CONTRACTOR LICENSE#(REQUIRED): FLATWHL862O4 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): J(ot PU <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR p OTHER(Please Specify) Engineer <br /> CONTACT NAME: CONTACT PHONE: 425-486-6533 X1 1 1 <br /> Andy Reaves CONTACT EMAIL: areaves@sdaengineers.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: 1- 1 Contract Price of Work: $ 25,000 <br /> Proposed Use of Building: 2-detached garage Heat Source: ❑Gas 0 Electric 0 Other <br /> Building Type: OSFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: tZlNew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler 11Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Remove the existing detached garage and driveway from lot 31. Construct new detached garage on for#2215 on tot 29. Construct new driveway to proposed garage on lot 30 and 31 within Ingress/Egress Easement. <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 /> - <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 /> City of Everett Official Use Only <br /> �.._,... r PERMIT_ <br /> _ P •,0 -" 7,1 // /,� - " 1(611 - col 4ial <br /> • ..4,Aw eorized dg nt 'gtfature {` ' Date (Revised 9/23/2016) <br />