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EVERETT <br />WASHINGTON <br />0 PERMIT APPLICATION 0 <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: 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 (Commercial): <br />OWNER MAILING ADDRESS: STREET 1515 W Casino RD Unit A-1 <br />clTv 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): 2 <br />PRIMARY CONTACT: ❑ OWNER 0 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 lContract <br />Price of Work: $ 3500.00 <br />Proposed Use of Building: Existing Building <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.I. ❑Sign ❑Sprinkler [-]Demolition ❑Change of Use <br />DESCRIPTION OF WORK: Repairing bathroom and kitchen, from previous water damage. <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 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 Com <br />Boiler <br />Gas Ra <br />Clothes Washer <br />Sink-Comme (3-comp,prep,floor) <br />Clothes Dryer <br />H ump&Ductless <br />Dishwasher <br />Sink- Idential (kitchen, bath, bar) <br />Duct System (Remodel) <br />Refrigeration <br />Drinking Fountain <br />Ink -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 (Typ <br />Water Heater <br />Interceptor -Grease <br />Waste/Water Piping Repair <br />Exhaust Hoo esidential) <br />Wood Stove <br />Interceptor -San I <br />Water Service (behind meter) <br />Forced ystems <br />Other: <br />Medical G <br />Water Valves or Fixtures <br />Ga replace/Insert/Log <br />Roof ains <br />Water Heater <br />INKLER / SUPPRESSION <br />SYSTEM <br />ewage Ejector or Sump Pump <br />Other: <br />Water Suppression System <br />No. of Heads <br />Chemical Suppression System <br />No. of Heads <br />ACKNOWLEDGEMENT. / 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 />rid 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAO W ' . C r � o rz ` �y'bf Xeticial Use Only <br />FEI��IT# <br />wrier Authorized dent ignature Date (Revised 10/10/2018) <br />i <br />/z <br />