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1917 HOYT AVE 2020-12-31
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1917 HOYT AVE 2020-12-31
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12/31/2020 9:27:07 AM
Creation date
12/31/2020 9:25:51 AM
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Address Document
Street Name
HOYT AVE
Street Number
1917
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PERMIT APPLICATIO• <br /> BUILDING ( MECHANICAL / PLUMBING / SIGN / SPRINKLER / 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:1 91 7-HoyT Ave Everett WA 98201 PROPERTY TAX#:00437037800900 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Bryan Youngman TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET1917-Hoyt Ave <br /> CITY Everett STATE WA zip 98201 <br /> OWNER PHONE: 425293-6091 OWNER EmAIL:Jbjungmann1@gmail.com <br /> CONTRACTOR NAME:Bryafl Youngman <br /> CONTRACTOR ADDRESS: STREET1917-Hoyt Ave <br /> cir Everett STATE WA Zip 98201 <br /> CONTRACTOR PHONE:425-293-6091 CONTRACTOR EmAIL:Jbjungmann1@gmail.com <br /> CONTRACTOR LICENSE#(REQUIRED):N/A CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): N/A <br /> PRIMARY CONTACT: CI OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:same <br /> Same CONTACT EMAIL:same <br /> BUILDING INFORMATION <br /> Existing Use of Building:resdential Contract Price of Work: $X OD° / <br /> Proposed Use of Building:same Heat Source: I:Gas DElectric ❑Other <br /> BUILDING USE: EISFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ✓❑Remodel ✓❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Pre:exisitng gas line shall be shortened. 220 V shall be added to kitchen range. (elect. perm. all <br /> ready obtained 220 V. New sink install while turning it to its original placement. New potable supply lines added to the sink. <br /> Waste line extened in basement to original location. New dishwasher added, With possible vent hood added in future date? <br /> ASSOCIATED BUILDING PERMIT#(if applicable): N/A <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture List of Fixtures Fixture List of Fixtures Fixture List of Fixtures Fixture List of Fixtures <br /> Count Count Count Count <br /> A/C-Air Handling Units 0 Gas Piping 0 Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler 1 Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless 1 Dishwasher 1 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 1 Waste/Water Piping Repair <br /> 1 Exhaust Hood(Residential) Wood Stove 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 /SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System 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 o ror I am authorized by the owner of this property to perform the work for which application is made. <br /> and I comgtytt✓ith the tate Contractors Law .27 RCW and 296.200 AC. <br /> City of Everett Official Use Only <br /> ZO PERMy60 D6 f 00q <br /> ywner/Aut ized Agent ignature Date (Revised 10/10/2018) <br />
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