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row <br />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 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br />(Blue or Black ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS:1622 E Marine view drive <br />PROPERTY TAX #:00556332400100 <br />LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: Riverview 1 IIc TENANT BUSINESS NAME (Commercial): <br />OWNER MAILING ADDRESS: STREETI 0900 NE 8th St., Suite 1200 <br />c,n Bellevue STATE WA zip 98004 <br />OWNER PHONE: 425-453-9551 <br />1OWNER EMAIL: <br />CONTRACTOR NAME: SEA, Corp <br />CONTRACTOR ADDRESS: STREET26828 Maple Valley Black diamond Rd SE suite #203 <br />,,T,, Maple Valley STATE Washington Z,P [98038] <br />CONTRACTOR PHONE:503-522-2778 <br />1CONTRACTOR EMAIL:seacorpl @yahoo.com <br />CONTRACTOR LICENSE #(REQUIRED):SEALCC0927LB <br />ICITY OF EVERETT BUSINESS LICENSE #(REQUIRED): <br />PRIMARY CONTACT: ❑ OWNER El CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />steven hossner <br />CONTACT PHONE:503-522-2778 <br />CONTACT EMAIL:seaCOrpl @yahoo.com <br />BUILDING INFORMATION <br />Existing Use of Building: <br />Contract Price of Work: $80,480 <br />Proposed Use of Building: <br />Heat Source: ❑Gas ❑Electric []Other <br />BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑✓ Multi -Family - # Units: 32 ❑Commercial ❑Accessory Structure <br />Type of Project: ✓❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br />DESCRIPTION OF WORK: Building A unit ventilation <br />ASSOCIATED BUILDING PERMIT # (if applicable): N / O 1 2-O <br />MECHANICAL <br />PERMIT <br />APPLICATION <br />PLUMBING PERMIT <br />APPLICATION <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />A/C — Air Handling Units <br />Gas Piping <br />Backflow Preventer (Inside Bldg) <br />Shower, Tub, or Combo <br />Boiler <br />Gas Range <br />Clothes Washer <br />Sink -Commercial (3-com p, prep, floor) <br />32 <br />Clothes Dryer <br />Heat PumpBDuctless <br />Dishwasher <br />Sink -Residential (kitchen, bath, bar) <br />Duct System (Remodel) <br />Refrigeration <br />Drinking Fountain <br />Sink -Utility, laundry, mop <br />80 <br />Exhaust Fans (Residential) <br />Commercial Ventilation <br />(Not Heat/AC system) <br />Floor Drain <br />Toilet <br />Exhaust Hood (Type 1) <br />Hose Bibb <br />Urinal <br />Exhaust Hood (Type II) <br />Water Heater <br />Interceptor -Grease <br />Waste/Water Piping Repair <br />32 <br />Exhaust Hood (Residential) <br />Wood Stove <br />Interceptor-Sand/Oil <br />Water Service (behind meter) <br />Forced Air Systems <br />Other: <br />Medical Gas <br />Water Valves or Fixtures <br />Gas Fireplace/Insert/Log <br />Roof Drains <br />Water Heater <br />SPRINKLER / SUPPRESSION <br />SYSTEM <br />Sewage Ejector or Sump Pump <br />Other: <br />Water Suppression System <br />I <br />INC. of Heads <br />Chemical Suppression System <br />I <br />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 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 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />City of Everett Official Use Only <br />PERMIT # <br />Owner/Authorized Agent Signature <br />Date <br />(Revised 1011012018) <br />