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0 PERMIT APPLICATION <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:1515 W Casino RD Unit A-1 Everett WA 98204 <br />PROPERTY TAX #: 00698000100100 <br />LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description <br />CONTACT INFORMATION <br />OWNER NAME: Thomas and Patti Joehnck TENANT BUSINESS NAME (Comm cial): None <br />OWNER MAILING ADDRESS: STREET 1515 W Casino RD Unit A-1 <br />c,Tv Everett STATE WA zIP 98204 <br />OWNER PHONE: 425-870-3974 <br />OWNER EMAIL: <br />CONTRACTOR NAME: Oasis Construction Group, Inc <br />CONTRACTOR ADDRESS: STREET4701 SW Admiral Way #231 <br />CITY Seattle STATE WA ZIP 98116 <br />CONTRACTOR PHONE: 206-399-6256 <br />CONTRACTOR EMAIL: elliot@oasisconstruct.COm <br />CONTRACTOR LICENSE #(REQUIRED): OASISCG844DH <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): <br />PRIMARY CONTACT: ❑ OWNER El CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Elliot Reposa <br />CONTACT PHONE:206-399-6256 <br />CONTACT EMAIL: elliot@oasisconstruct.com <br />BUILDING INFORMATION <br />Existing Use of Building: Condo <br />Contract Price of Work: $ 35 00 <br />Proposed Use of Building: Existing Building <br />Heat Source: ❑Gas Electric ❑Other <br />BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: OCommercial ❑Accessory Structure <br />Type of Project: ❑New ❑Addition ❑Remodel ORepair LIT. 1. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br />DESCRIPTION OF WORK: RPnairin� ha adage. <br />ASSOCIATED BUILDING PERMIT # (if applicable): <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 R56ures <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />A/C — Air Handling Units <br />G iping <br />Backflow Preventer (Inside Bldg) <br />j <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 (Residenx <br />Commercial Ventilatior <br />(Not Heat/AC system) <br />Floor Drain <br />1 <br />Toilet <br />Exhaust Hood (Type. <br />Hose Bibb <br />Urinal <br />Exhaust Hood (T e II) <br />Water Heater <br />Interceptor -Grease <br />Waste/Water Piping Repair <br />Exhaust Hoo Residential) <br />Wood Stove <br />Interceptor-Sand/Oil <br />Water Service (behind meter) <br />Forced Ai ystems <br />Other: <br />Medical Gas <br />Water Valves or Fixtures <br />Gas Fi place/Insert/Log <br />Roof Drains <br />Water Heater <br />SPR KLER /SUPPRESSION <br />SYSTEM <br />Sewage Ejector or Sump Pump <br />other: <br />Water Sup4ssion System <br />No. of Heads <br />Chemica Suppression System <br />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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />City of Everett Official Use Only <br />P nll� o -no <br />(Revised 1011012018) <br />