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EVERETT <br />WASHINGTON <br />PERMIT APPLICATIONS <br />BUILDINGIIECHANICAL / 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: 315 Elm Street, Everett, WA 98203 <br />1PROPERTY TAX #:00606200003400 <br />LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: Greeno Elm LLC (Jeff Greenough, Mgr) TENANT BUSINESS NAME (Commercial): <br />OWNER MAILING ADDRESS: STREET461 3 Baker Drive <br />CITY Everett STATE WA z1P 98203 <br />OWNER PHONE: 206-601-7850 <br />1OWNER EMAIL:Jeff_greenough@frontler.Com <br />CONTRACTOR NAME: Phoenix Construction Inc. (Jesse Piano, President) <br />CONTRACTOR ADDRESS: STREET 1841 7 61 st PI NE <br />CITY Kenmore STATE WA ZIP 98028 <br />CONTRACTOR PHONE:206-854-7746 <br />CONTRACTOR EMAIL:Jesserpiano@yahoo.corn <br />CONTRACTOR LICENSE #(REQUIRED):PHOENCIO99kL <br />ICITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 57745 <br />PRIMARY CONTACT: I] OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Jeff Greenough <br />CONTACT PHONE: 206-601 -7850 <br />CONTACT EMAIL:jeff_greenough@frontier.com <br />BUILDING INFORMATION <br />Existing Use of Building: SFR - recently purchased, temporarily vacant <br />Contract Price of Work: $100,000 Time & Materia Cost + <br />Proposed Use of Building:SFR - to be rentable house <br />Heat Source: []Gas -E]Electric i]OtherWood Fireplace <br />BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ❑Commercial ❑Accessory Structure <br />Type of Project: ❑New ❑Addition R]Remodel ❑Repair LT. 1. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br />DESCRIPTION OF WORK: Remodel interior master walk-in closet and laundry room spaces, making them smaller, while adding a <br />3/4 bathroom within their relinquished spaces. Replace dining room large single -paned window with French door set. <br />Any mechanical, elecrical and plumbing permits required will be submitted as associated to this permit by subcontractors. <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />MECHANICAL <br />PERMIT <br />APPLICATION <br />PLUMBING PERMIT <br />APPLICATI N <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 <br />Hose Bibb <br />Urinal <br />Exhaust Hood (Type II) <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 Gala' <br />Water Valves or Fixtures <br />Gas Fireplace/Insert/Log <br />Roof Drains <br />Water Heater <br />SPRI KLER / SUPPRESSION <br />SYSTEM- <br />Sewage ejector or Sump Pump <br />Other: <br />Water Suppression System <br />No. of Heads <br />Chemical Suppression System <br />INo. of Heads <br />ACKNOWLEDGEMENT: 1 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. / am the owner, or 1 am authorized by the owner of this property to perform the work for which application is made, <br />and / comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />City of Everett Official Use Only <br />PER - A z <br />Agent Signature Date (Revised 1011012018) i <br />