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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 l FAX 425-257-8857 l (E) everetteps@everettwa.gov l www.everettwa.gov/permits <br />(Blue or Black ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: 902 Hoyt Ave <br />IPROPERTY TAX #:00553217403300 <br />LEGAL for new construction: Short Plat/subdivision Ready Land Co. Lot Ne.33834 (attach copy of long legal description) <br />-CONTACT INFORMATION' <br />OWNER NAME: Scott PattlSOn TENANT BUSINESS NAME (Commercial): <br />OWNER MAILING ADDRESS: STREET 902 Hoyt Ave <br />CITY Everett STATE WA z,p 98201 <br />OWNER PHONE: 425-870-5606 <br />1OWNER EMAIL: pattlSOnSCott@yahoo.COn'1 <br />CONTRACTOR NAME. <br />CONTRACTOR ADDRESS: STREET <br />CITY STATE ZIP <br />CONTRACTOR PHONE: <br />CONTRACTOR EMAIL: <br />CONTRACTOR LICENSE #(REQUIRED): <br />CITY OF EVER #(REQUIRED): <br />PRIMARY CONTACT: El OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify <br />CONTACT NAME: <br />Scott Pattison <br />CONTACT PHONE: 425-870-5606 <br />CONTACT EMAIL: pattisonscott@yahoo.com <br />BUILDING INFORMATION <br />Existing Use of Building: Garage <br />Contract Price of Work: $ - <br />Proposed Use of Building: Garage & Recreation Room <br />Heat Source: EIGas ❑Electric ❑Other <br />BUILDING USE: EISFR ❑Townhouse ❑Duplex ❑ADU []Multi -Family - # Units: ❑Commercial ❑Accessory Structure <br />Type of Project: ❑✓ New ❑Addition ❑Remodel ❑Repair LIT. 1. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br />DESCRIPTION OF WORK: 1st level 24x24 Garage, 2nd level 24x24 Recreation Room <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 />1 <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 />1 <br />Sink -Residential (kitchen, bath, bar) <br />Duct System (Remodel) <br />Refrigeration <br />Drinking Fountain <br />Sink -Utility, laundry, mop <br />1 <br />Exhaust Fans (Residential) <br />Commercial Ventilatior <br />(Not Heat/AC system) <br />1 <br />Floor Drain <br />1 <br />Toilet <br />Exhaust Hood (Type 1) <br />1 <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 Gas <br />Water Valves or Fixtures <br />Gas Fireplace/Insert/Log <br />Roof Drains <br />1 <br />Water Heater <br />SPRINKLER /_SUPPRESSION <br />SYSTEM <br />Sewage Ejector or Sump Pump <br />I <br />10ther: <br />Water Suppression System <br />No. of Heads <br />Chemical 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 loc>�u� The -grant g of a permit only authorizes approved work and no deviations therefrom. Deviations must first be authorized in writing from the <br />Building Official befo ing authorized under: ny 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 w' , tate Contractors La_!518.27 R.CW and 296.200A WAC. <br />City of Everett Official Use Only <br />PERMIT #`.�' <br />Owner/Authorized Agent Signature Date ' (Revised 1011012018) <br />V_L_ <br />