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0 ! <br />PERMIT APPLICATION <br />EVERETT <br />WASHINGTON <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 1 FAX 425-257-8W I (E) .gov I Www.evereftwa.gov/pennifs <br />(Mm'or Ink Ckdy 111011 s PROJECT' SITE`iNFORMATION " <br />PROJECT SITE ADDRESS: 7011 McDougall Ave Everett wa <br />PROPERTY TAX � <br />LEGAL for new constnrctiorc Short Piat/subdivision Lot No. (attach copy of Iong iegal description) <br />CONTACT INFORMATION <br />OWNERNAUE:chris villa TENANT BUSINESS NAME (Commercial): <br />OWNER MAILING ADDRESS: smffT 26213 SE 158th St Issaquah 98027 <br />M„ Issaquah IME wa ZIP 98027 <br />OWNERPHONE• +1(425)736-3292 <br />OWNEREMAIL: cvilla@alliveproperties.com <br />CONTRACTOR NAME: leremiah Edwards <br />CONTRACTOR ADDRESS: smrEr 1093 industry dr <br />crry Tukwi 1 a STATE Wa► ,98188 <br />CONTRACTOR PHONE: 425-375-8497 <br />ICONTMCTCMEKOjL.wa.con.grp@gmail.com <br />CONTRACTOR LICENSE #(REQUIRED): washi cg8141 s <br />CITY OF EVERETr BUSIIMM L K*NSE #(REQURED): <br />PRIMARY CONTACT: ❑ OWNER X7 CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: ]eremi ah Edwards <br />CONTACT PHONE: 425-375-8497 <br />CONTACT EMAIL_ wa. con. grp@Qnai l . Com <br />BUILDING INFORMATION <br />E)dsting Use of Building: 1coribmt <br />Price of Work: $110,000 <br />Proposed Use of BWIdi : Sfr <br />Heat Source: EIGas O+ Electric OOtiner <br />BUILDING USE bSFR []Townhouse []Duplex ❑ADU [IMultioFarm - # Units: ❑ConrnerGal ❑Acwssory Sfiucture <br />Type of ❑New, ❑Addition MRamodel ❑Repair ❑TI_ ❑S' n OSprinkler ❑Demolition ❑Change of Use <br />DESCRIPTIONOFWORK' Re-roof/re-plumb/re-wire/sheetrock/ interior <br />framing/demolition/windows like and kind/kitchen <br />reconfigurations/bathroom installation/ framing <br />repair on exterior. <br />JASSOCIATED BUILDING PERWr # (if applicable): <br />MECHANICAL <br />PERMIT <br />APPLICATION <br />PLUMBING_ PERMIT <br />APPLICATION <br />Courd <br />List ofFnrtmes <br />Fhh" <br />coot <br />List ofFizhrres <br />Fwttwe <br />Count <br />List ofFadrrres <br />Fnrbwe <br />Count <br />Listof bdures <br />A/C — Air Handling Units <br />Gas Piping <br />Baddlow Preventer (Inside Bldg) <br />Shower, Tub, or Combo <br />Boiler <br />Gas Range <br />Clothes Washer <br />Sink-Commercal (3-comp.prep .floor) <br />CMWS Dryer <br />Heat Pump3Ductless <br />Dishwasher <br />Sink4tesidential pdtchen,bath,bar) <br />Duct System (Remodel) <br />Refrigaiation <br />Drinking Fountain <br />SiMc U6TdY. may. -W <br />Eifiaust Fans (Residential) <br />Commerce Ventilatior <br />(Not HeaVAC system) <br />Floor Drain <br />Toilet <br />Edtmrst Hood (Type 1) <br />Hose Bibb <br />Urinal <br />Faust Hood (rype 10 <br />Wafter Heater <br />Interceptor -Grease <br />WastaWater Piping Repair <br />Exhaust Hood (Resicierfial) <br />Wood Stowe <br />Interceptor Sanrdf0d <br />Water Service (behind meter) <br />Fond Air Systems <br />Omer <br />Medicai Gas <br />Water Valves or Fediures <br />Gas Faeplac e/Insert/Log <br />I <br />Roof Drams <br />Water Heater <br />SPRINKLER SUPPRESSION <br />SYSTEM:' <br />Sewage Ejector or Sump Pump <br />Other. <br />riater SuW=M= <br />I <br />lNo. of Heads <br />IChemical Suppression System <br />I <br />JNo. of Heads <br />ACKNOWLEDGEMENT I have reviewed On appkalon and conram t►e o m►alon contained berm is hue and cor►ect Work done prwsuant to fts pawiff must cwwiy with <br />rarrrent federal, state, and kcal law The gran ng of a permit only auffxmzes approved work and no deviabom iherefhmn Donations mast Erg be authorized to wnhW fmm the <br />Bu*EW Official before being authored rmderanyorcunnho e. tam the owner or/ am authowed by the ownerof tis property to perform the workforwt ich appicalon is made, <br />and I conWfy with the State Conhadom Law 1827 RCW and 296 2OQ4 WAG <br />�I_ = 6/20/2020 <br />�' Agent Signature Date <br />signature Date <br />City of Everett Offical UseOrdy <br />PERMIT # <br />r3200(7- 0a(p <br />(Revised 10/10/M8) <br />