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0 PERMIT APPLICATION 0 <br />BUILDING /MECHANICAL /PLUMBING /SIGN /SPRINKLER /DEMOLITION <br />EVERETT 32CITY OF EVERETT PERMIT SERVICES <br />00 CEDAR STREET, EVERETT, WA 98201 <br />WASHINGTON (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: 5230 EAST DRIVE <br />PROPERTY TAX #: 00471700001607 <br />LEGAL for new construction: Short Plat/subdivision Lot No. 4 (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: HAACK BROTHERS CONSTRUCTION TENANT BUSINESS NAME (Commercial): <br />OWNER MAILING ADDRESS: STREET 3922 87TH AVE NE <br />clTv MARYSVILLE STATE WA z,P 98270 <br />OWNER PHONE: 425-290-2429 <br />OWNER EMAIL: JOEL@HAACKBROTHERS.COM <br />CONTRACTOR NAME: ROBINSON PLUMBING INC <br />CONTRACTOR ADDRESS: STREET29330 124TH AVE NE <br />C,Tv ARLINGTON STATE WA zIR 98223 <br />CONTRACTOR PHONE: 360-403-7462 <br />CONTRACTOR EMAIL: ROBINSONPLUMBINGINC@GMAIL.COM <br />CONTRACTOR LICENSE #(REQUIRED): ROBINP'272C2 <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 008098 <br />PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />KEN ROBINSON-ELMSLIE <br />CONTACT PHONE: 425-508-3459 <br />CONTACT EMAIL: ROBINSONPLUMBINGINC@GMAIL.COM <br />BUILDING INFORMATION <br />Existing Use of Building: SFR <br />Contract Price of Work: $ 6,950.00 <br />Proposed Use of Building. SFR <br />Heat Source: ❑Gas ❑Electric []Other <br />BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ❑Commercial ❑Accessory Structure <br />Type of Project: ❑✓ New ❑Addition ❑Remodel ❑Repair ❑T]. []Sign ❑✓ Sprinkler ❑Demolition ❑Change of Use <br />DESCRIPTION OF WORK: INSTALL FLOW THROUGH (MULTI -PURPOSE) FIRE SPRINKLER SYSTEM IN NEW SFR WITH <br />25 HEADS AND 1 RISER PER NFPA 13D. <br />ASSOCIATED BUILDING PERMIT # (if applicable): 020()3-008 <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-comp, prep, floor) <br />Clothes Dryer <br />Heat Pump&Ductless <br />Dishwasher <br />Sink -Residential (kitchen, bath, bar) <br />Duct System (Remodel) <br />Refrigeration <br />Drinking Fountain <br />Sink -Utility, laundry, mop <br />Exhaust Fans (Residential) <br />Commercial Ventilatior <br />(Not Heat/AC system) <br />Floor Drain <br />Toilet <br />Exhaust Hood (Type 1) <br />Hose Bibb <br />Urinal <br />Exhaust Hood (Type 11) <br />Water Heater <br />Interceptor -Grease <br />Waste/Water Piping Repair <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/]nsert/Log <br />I <br />Roof Drains <br />Water Heater <br />SPRINKLER / SUPPRESSION <br />SYSTEM <br />Sewage Ejector or Sump Pump <br />Other: <br />Water Suppression System <br />12b <br />No. 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 1 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 />Owner/A-Er horized Agent -Signature IDate <br />City of Everett Official Use Only <br />PERMI # <br />�001_ o� <br />(Revised 10/10/2018) D/Z- <br />