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• • <br /> MU PERMIT APPLICATION „...._._......__ ,, <br /> BUILDING / MECHANICAL/PLUMBING/SIGN I SPRINKLER /DENOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> '--------___..„1 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwaloy I wwweverettwa.goyrpermits <br /> (Blue or Black Ink Only Moss.) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:10504 ROSEWOOD AVE, EVERETT, WA 98204 PROPERTY TAX ti;00535400002006 <br /> LEGAL for new construction Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME; PATRICK PATTERSON TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 10504 ROSEWOOD AVE <br /> EVERETT STATE WA zw' 98204 <br /> OWNER PHONE: 2065016379 OWNER EMAIL:INDIGOENTERPRISES@GMAILCOM <br /> CONTRACTOR NAME:PETER KRENZKE <br /> CONTRACTOR ADDRESS: syREET26828 MAPLE VALLEY HWY#308 <br /> ciTy MAPLE VALLEY STATE WA zip 98038 <br /> CONTRACTOR PHONE:2065016379 CONTRACTOR EMAIL:IND1GOENTERPRISES@GMAILCOM <br /> CONTRACTOR LICENSE#(REQUIRED):INDIGEL975LW CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:2065016379 <br /> PETER KRENZKE CONTACT EMAIL:INDIGOENTERPRISES©GMAILLOM <br /> BUILDING INFORMATION <br /> Existing Use of Building:RESIDENTIAL MANUFACTURED HOME Contract Price of Work:$22.000 _ <br /> Proposed Use of Building:RESIDENTIAL MANUFACTURED HOME Heat Source: CiGas Electric DOther .„ <br /> BUILDING USE: OSFR ElTownhouse EIDuplex LJADU DMulti-Family #Units JCon,in&ciaI DAccessory Structure <br /> Type of Project: LiNew LlAddition LRemodel CRepair DTI LJSign OSprinkler Demolition EiChange of Use <br /> DESCRIPTION OF WORK: REMOVE AND REPLACE EXISTING FIRE DAMAGED MANgACTURE6 HOME <br /> ASSOCIATED BUILDING PERMIT#p applicable): , .. <br /> .., . <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixtulo Fixture Fixture List of Fixtures <br /> List of Fixtures List of Fixtures List of Fixtures <br /> Count co.)1 Count Count , <br /> AFC—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) Commerdal Ventilating Floor Drain .Toilet <br /> Exhaust Hood(Tape I) (Not Heat/AC system) Hose Bibb Unnal <br /> Exhaust Hood(Type II) . Water Heater ...Interceptor-Grease Waste/Water Piping Repair <br /> _ <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> - <br /> Gas Fireplace/Insert/Loa Roof Drains Water Heater <br /> . , . <br /> SPRINKLER / SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other. <br /> Water Suppression System <br /> T -No.of Heads <br /> Chemical Suppression System No of Heaps <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 /> Budding Official before being authorized under any circumstance I ern 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 end 296,200A WAC. <br /> City of Everett Official Use Only <br /> Own0KiithbizettA'gent Signature Date ("Revised 10/10/20161 <br />