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4ren" 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 j 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:2330 Bayview PI, Everett WA 98203 PROPERTY TAX#00417000210405 <br /> LEGAL for new construction: Short Plat/subdivision ,. Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Ryan Gibson TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 2330 Bayview PI <br /> „v Everett STATE WA ZIP 98203 <br /> OWNER PHONE: 360-218-2805 OWNER EMAIL:/ , L tigervette@gmail.COm <br /> CONTRACTOR NAME: �' k5 *kein e ((Atel'er vocAoiS <br /> CONTRACTOR ADDRESS: STREET 1420 t7eVg Jimtcvyin c?( NW <br /> CITY llaikeck1P ,STATE M 1. EP <br /> CONTRACTOR PHONE: I'I?s- 23ai -lc- is- CONTRACTOR EMAIL:rjp ;cec align we en+Gutiecs. , <br /> CONTRACTOR LICENSE#(REQUIRED): AOMe.CC E%S LAM I CITY OF EVERETT BUSINESS LICENSE#(REQUIRE r. it / <br /> ebv <br /> PRIMARY CONTACT: NOWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: Ryan Gibson CONTACT PHONE: 360-218-2805 <br /> CONTACT EMAIL: tigervette@gmail.COm <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building:Single Family Residential Contract Price of Work:$ 200,_000 .°% <br /> Proposed Use of Building: Single Family Residential Heat Source: EGas ❑Electric ❑Other <br /> Building Type: FR-Detached ❑SFR-Attached ODuplex ❑Mufti-Family-#of Units: — ❑Commercial ❑Industrial <br /> Type of Project: ❑New MAddition ❑Remodel ORepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Remove existing concrete patio to south of existing structure and add 2 floor addition.2 floor addition will add 3 bedrooms and bathroom on <br /> second floor and great room on main floor. Reframe existing 2nd floor walls for new configuration.Relocate clothe&washer and dryer <br /> connections to second floor. Add deck footing east of addition(ytc old*ter <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 I Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater 1 Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration i 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: I Clothes Washer Medical Gas <br /> Range Hood Water Heater - Other: <br /> 2 Exhaust Fan i 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 properly 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 /> 4r PERMITb iBosS/ /is DVl Owns uthorized Agent Signature Date (Revised 91232016) f/� \ <br /> (tom <br />