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• PERMIT APPLICATIOI11 <br /> BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER/ DEMOLITION <br /> �, CITY OF EVERETT PERMIT SERVICES <br /> 4d0 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (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:3403 Mukilteo Blvd, Everett WA 98203 PROPERTY TAX#:00-5717-006-008-00 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Kevin & Dayna McCarthy TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET PO Box 1635 <br /> CITY Mukilteo STATE WA zip 98275 <br /> OWNER PHONE: 206-200-4036 OWNER EMAIL:kmCCarthy©miCrOlOanSnW.COM <br /> CONTRACTOR NAME: uv1i2V <br /> CONTRACTOR ADDRESS: STREET <br /> C rry STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: El OWNER ❑CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-200-4036 <br /> Kevin McCarthy CONTACT EMAIL:kmccarthy@microloansnw.com <br /> BUILDING INFORMATION <br /> Existing Use of Building: Contract Price of Work: $60,000.00 <br /> Proposed Use of Building: Heat Source: ❑Gas DElectric ❑Other <br /> BUILDING USE: OSFR Townhouse ❑Duplex 1✓iADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition I_✓1Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Remodel existing kitchen, convert second bedroom to master suite with addional shower, toilet closet, <br /> doube sink vanity, walk-in closet. Move toilet in existing bathroom and add sink. New electrical wiring throughout. Remove wall- <br /> board and insulate with R15. Replace windows with U28 windows and slider and blow in new insulation in to attic. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture List of Fixtures Fixture Fixture Fixture <br /> Count count List of Fixtures Count List of Fixtures List of Fixtures <br /> Count <br /> A/C—Air Handling Units t Gas Piping Backflow Preventer(Inside Bldg) 2 Shower,Tub,or Combo <br /> Boiler 1 Gas Range i Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> I Clothes Dryer i Heat Pump&Ductless 1 Dishwasher 5 Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> 3 Exhaust Fans(Residential) Commercial Ventilatior Floor Drain 2 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 /> 1 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/Insert/Log 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 e 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#/-�,1c1 t) r On <br /> Owner/Authorized Agent Signature date, ►v <br /> (Revised 10/10/2018) <br />