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1525 FLORIDA DR 2022-04-15
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1525 FLORIDA DR 2022-04-15
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Last modified
4/15/2022 9:13:10 AM
Creation date
12/21/2020 12:03:47 PM
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Address Document
Street Name
FLORIDA DR
Street Number
1525
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PERMIT APPLICATIO <br /> BUILDIN . ECHANICAL/ PLUMBING /SIGN RINKLER/ DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I 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:1525 FLORIDA DR PROPERTY TAX#:00393900701800 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. 1 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: BUSTARD CUSTOM CONSTRUCTION TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET PO BOX 1243 <br /> CITY MARYSVILLE STATE WA ZIP 98270 <br /> OWNER PHONE: 360-659-3845 OWNER EMAIL:BUSTARDCUSTOMCONSTRUCTION@GMAIL.COM <br /> CONTRACTOR NAME:ROBINSON PLUMBING INC <br /> CONTRACTOR ADDRESS: STREET 29330 124TH AVE NE <br /> CITY ARLINGTON STATE WA ZIP 98223 <br /> CONTRACTOR PHONE:360-403-7462 CONTRACTOR EMAIL:ROBINSONPLUMBINGINC@GMAIL.COM <br /> CONTRACTOR LICENSE#(REQUIRED):ROBINP*272C2 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 008098 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-508-3459 <br /> KEN ROBINSON-ELMSLIE CONTACT EMAIL:ROBINSONPLUMBIGNINC@GMAIL.COM <br /> BUILDING INFORMATION <br /> Existing Use of Building: Contract Price of Work:$4,200.00 <br /> Proposed Use of Building:SFR Heat Source: ❑Gas DElectric ❑Other <br /> BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑✓New ❑Addition ❑Remodel ❑Repair ❑T.l. ❑Sign ©Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: INSTALL FLOW THROUGH (MULTI-PURPOSE) FIRE SPRINKLER SYSTEM IN NEW SFR WITH <br /> 14 HEADS AND 1 RISER PER NFPA 13D. <br /> ASSOCIATED BUILDING PERMIT#(if applicabl : C1 qn6-n15 <br /> MECHANICAL PERMIT APPLIC TION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count Lis of Fixtur 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 Ventilation 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) Sto • 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/SUP ESSION SYSTE Sewage Ejector or Sump Pump Other: <br /> Water Suppression System 14 No.of Hea.: <br /> Chemical Suppression System I .No. <br /> of He '•s <br /> ACKNOWLEDGEMENT:I have revi ed this application an,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. a granting of a .-. 'it only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official before being authorize er a umstance.lam 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 /> PER T ' O Z 'C)C_ ` <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br /> / <br />
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