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I <br /> (OLT 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 FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 706 60th Street SW, Everett, WA 98203 PROPERTY TAX#: 00436800000300 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Leilani Holdings LLC TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 615 108th Place S.E. <br /> crry Everett STATE WA ZIP 98203 <br /> OWNER PHONE: 425-343-8003OWNER EMAIL: BBaker6422@aol.com <br /> CONTRACTOR NAME: GEO Builders, Inc. <br /> CONTRACTOR ADDRESS: STREET 615 108th Place S.E. <br /> Dr( Everett STATE WA ZIP 98208 <br /> CONTRACTOR PHONE: 425-343-8003 CONTRACTOR EMAIL: BBaker6422@aol.com <br /> CONTRACTOR LICENSE#(REQUIRED): 601992361 CITY OF EVERETT BUSINESS LICENSE#(REQUIRE l <br /> PRIMARY CONTACT: OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-343-8003 <br /> Brock Baker CONTACT EMAIL: BBaker6422@aol.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Residential Duplex Contract Price of Work: $___. $50,000 <br /> Proposed Use of Building: Residential Duplex Heat Source: ❑Gas (]Electric ❑Other <br /> Building Type: DSFR-Detached ❑SFR-Attached ®Duplex ❑Multi-Family-#of Units: ❑Commercial E Industrial <br /> Type of Project: ❑New Addition ❑Remodel ®Repair ❑T.I. ❑Sign ❑Sprinkler NDemolition Change of Use <br /> DESCRIPTION OF WORK: <br /> Repair fire damage per fire of 10/20/2017. Removal and replacement of drywall, trusses in garage <br /> in Unit B. Replace siding in front of garage and plumbing as needed. <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 /> NC—Air Handling Units . Heat Pump 1 Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater 1 Bathtub Urinal <br /> Gas Piping Boiler i Lavatory(Wash Basin) Drinking Fountain <br /> _Water Heater - Refrigeration Shower Floor Drain <br /> Gas Fireplace _ Wood Stove i Kitchen Sink&Disposal Grease Trap <br /> _Gas Range Ducting 1 Dishwasher Roof Drains <br /> Clothes Dryer Hookups _ Other: Clothes Washer Medical Gas <br /> Range Hood i 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 /> City of Everett Official Use Only <br /> P( 1T 1.91 2 s <br /> Brock Baker 12/06/2017 `!f/ <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />