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• PERMIT APPLICATIONS <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:318 SE Everett Mall Way Suite 102 Everett, WA 98208 PROPERTY TAX#:28051800303900 <br /> LEGAL for new construction: Short Plat/subdivision See Drawing Coversheet Lot No.02 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: 3-HLLC -Kwai Hsue TENANT BUSINESS NAME(Commercial): Car Toys <br /> OWNER MAILING ADDRESS: sTREET7515 SE 71st ST. <br /> crry MERCER ISLAND STATE WA ZIP 98040 <br /> OWNER PHONE: N/A OWNER EMAIL:kshsue@hotmail.com <br /> CONTRACTOR NAME:James Steele OjC lift W. <br /> CONTRACTOR ADDRESS: STREET 16410 84th ST NE#D551 <br /> cirr Lake Stevens STATE WA ZIP 98258 <br /> CONTRACTOR PHONE:(425)387- 1438 CONTRACTOR EMAIL:steele@casmcontracting.com <br /> CONTRACTOR LICENSE#(REQUIRED):CASMLL*827M3 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):Applied#ITJWH4YE <br /> PRIMARY CONTACT: ❑OWNER D CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:Listed Above <br /> James Steele CONTACT EMAIL:Listed Above <br /> BUILDING INFORMATION /^ <br /> Existing Use of Building:Automotive Repair Contract Price of Work:$ O�0 .�� <br /> Proposed Use of Building:Same as existing Heat Source: ❑Gas DElectric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ✓❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition LRemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Inspection for Certificate of Occupancy <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures 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 Ventilatior 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) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/InserULog 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 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 /> PERMIT fh /) i I <br /> James Steele anv.y m s <br /> e� .a°y asiem <br /> 12/23/2020 L kJ, af� <br /> oaie zozo z.za�r°rsi-0eon• <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) C14.) <br />