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3610 GRAND AVE 2021-05-04
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3610 GRAND AVE 2021-05-04
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Last modified
5/4/2021 11:33:43 AM
Creation date
5/4/2021 11:33:27 AM
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Address Document
Street Name
GRAND AVE
Street Number
3610
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4itC "3 <br /> masti F 1 a CP u. o PERMIT APPLICATION • <br /> IP"=,'. BUILDING ItIJIEC ANICAL I PLUMBING I SIGN / SPRINKLER/ DEMOLITION <br /> r E; # 1 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 wvow.everettwa.gov/permits <br /> (Blue or Black Ink yrk*i` -., PROJECT SITE INFORMATION <br /> PROJECT SITE ADD*/SS:3608 Rucker Ave,.Everett WA 98201 PROPERTY TAX#:00451401302800 <br /> LEGAL for new constructio. tort Pla. .:.rvision Lot No. (attach copy of long legal description) `:. <br /> - <br /> CONTACT INFORMATION <br /> OVVNER NAME: 3608 Rucker Ave, LLC TENANT BUSINESS NAME(Commercial): Rucker Remodel i <br /> OWNER MAILING ADDRESS: STREETP.O.BOX 1094 R <br /> CITY Woodinville STATE WA ZIP 98072 <br /> OWNER_PHONE:425.244.0007 • <br /> OWNER EMAIL:ISmall.Seattle C©gmall.C(O�m 1/�- <br /> CONTRACTOR NAME:OWIIer/TBD (li ( E4S t IYl O UY��I(l��fV`G. —1 <br /> CONTRACTOR ADDRESS: STREET <br /> - l iCITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: _ <br /> CONTRACTOR LICENSE#(REQUIRED): • CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 'I <br /> • <br /> PRIMARY CONTACT: El OWNER 0 CONTRACTOR 0 OTHER(Please Specify) _ __ E <br /> CONTACT NAME: CONTACT PHONE:425.244.0007 } <br /> Ismail Mohammad CONTACT EMAIL:ismail.seattle@gmail.com <br /> BUILDING INFORMATION t <br /> .g: GALA <br /> t <br /> ExistingUse of Building: GE Contract Price of Work: gg � ���, . ._�-�- <br /> Proposed Use of Fuilding:M1JItifamily Heat Source:J `�' Electric ❑Other __ T__ Y__, <br /> - i <br /> BUILDING USE: OSFR ❑Townhouse Duplex ❑ADU -avratfl?amily-4-untts.3 '' OCommercial ❑Accessory Structure 1 <br /> Type of Project: ❑New Ition 1`a'emodel ❑Repair ❑T.1. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORM .d j: Baser ela4-ate Garage conversion to dwelling unit*. Etitaala--o# 1 <br /> r <br /> r / — r <br /> ir <br /> ASSOCIATED BUILDING PERMIT#(if applicable): r . vr, - '* "- a <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture F'xture Fixture <br /> Count List of Fixtures Count List of Fixtures ou List of Fixtures Count List of F' ures <br /> _ —NC—Air Handling Units 3 Gas Piping ��flow Preventer(Inside Bldg) 4 Shower . .,or Combo <br /> •oiler .: 3 Clothes - -Commercial(3.•comp_prop,floor)—1 <br /> 3 Clot c Dryer ' mp&Ductless 3 Dishwasher A Sink-Residential(kitchon,bathbar) <br /> Duct Syste emodel) ,'efrigeration Drinking Fountain PP"` Sink-Utility,laundry,mop _ <br /> 4 Exhaust Fans(Re.':-ntial) Commercial Ventilatior+ Floor Drain 4 Toilet y <br /> Exhaust Hood(Type I) (Not Heat/AC system) I Hose Bibb Urinal Y <br /> Exhaust Hood(Type I - Water Heater Interceptor-Gre- Waste/Water Piping Repair <br /> 11 <br /> 3 Exhaust Hood( dential) v. •od Stove Intercept. and/Oil 3 ter Service(behind meter)— <br /> Forced A T Other: Me.' Gas Water es or Fixtures "A <br /> G (replace/Insert/Log . R•, II -'• 3 Water Heater _ . <br /> 21/INKLER I SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> W.er Suppression System No.of Heads <br /> !Chemical Suppression System I 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 it only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official before being authorized under a ircumsta e.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 S to Contractors Law 18.27 RC an 296.200A WAC. <br /> City of Everett gfficial Use On/v os iIii <br /> tA )(D\ (:)(p) IPERMIX.c3024:1:5 5 <br /> Owner/Author" el .' nature Date (Revised 10/10/2018) <br />
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