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PERMIT APPLICATION <br /> BUILDING ECHANICAL / PLUMBING / SIGN f RINKLER / DEMOLITION <br /> !�`—`� CITY OF EVERETT PERMIT SERVICES <br /> /kE77- 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I wwweverettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 2505 PANAVIEW BLVD EVERETT, WA 98203 PROPERTY TAX#: 00603700002300 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: BEYENE ALMAZ & AWOKE SOLOMON K TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 2505 PANAVIEW BLVD <br /> CITY EVERETT STATE WA ZIF 98203 <br /> OWNER PHONE: 2064228720 OWNER EMAIL: almaz_solo@yahoo.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: 0 OWNER 0 CONTRACTOR 'OTHER(Please Specify) DRAFTING NORTHWEST <br /> CONTACT NAME: CONTACT PHONE: 2062407006 <br /> Joey Perez CONTACT EMAIL: draftnwAgmail.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: SFR Contract Price of Work: $ / ,ea0 <br /> Proposed Use of Building: SFR + AFH I}tThrs- Meat Source: V1Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Dupi4x ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> D SCRIPTION OF WORK: <br /> 'oro SF ADDITION +264 SF GAR CONV <br /> A ' • _ S. -UILDING PERMIT#(if applicable): <br /> ECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn _Alteration Repair Type of Project: _New _Addn _Alteration _Repair <br /> Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of 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 / SUPPRESSION SYSTEM <br /> Chemical or Water 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 /> /-na PERMIT# <br /> )0 11 r IgII -- 033^ <br /> Owner/Authorizecf Agent Signa -e Date <br /> (Revised 9/23/2016) <br />