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0 PERMIT APPLICATION 0 <br />BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />OL 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: 1412 HOYT AVE, EVERETT WA 98201 <br />PROPERTY TAX #: <br />00438529402600 <br />LEGAL for new construction: Short Plat/subdivision <br />Lot No. (attach copy of long legal description) SEE ATTACHED <br />CONTACT INFORMATION <br />OWNER NAME: EDWARD & UANNE GILMORE <br />TENANT NAME (If Commercial): <br />OWNER MAILING ADDRESS: STREET 2720 HOYT AVE, APT 315 <br />CITY EVERETT <br />STATE WA <br />zip 98201 <br />OWNER PHONE: 503 631 4844 <br />1OWNER EMAIL: GILMOREDT COMCAST.NET <br />CONTRACTOR NAME: GREENFAB CONSTRUCTION LLC <br />CONTRACTOR ADDRESS: STREET 6701 GREENWOOD AVE N <br />CITY SEATTLE <br />STATE WA <br />zip 98103 <br />CONTRACTOR PHONE: 877 846 4445 <br />CONTRACTOR EMAIL: SWEN@GREENFAB.COM <br />CONTRACTOR LICENSE #(REQUIRED): GREENCL841 K4 <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): IN PROCESS <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR 9 OTHER (Please Specify) ARCHITECT <br />CONTACT NAME: <br />BRETT HOLVERSTOTT <br />CONTACT PHONE: 206 251 8947 <br />CONTACT EMAIL: BRETT GLADUDESIGN.COM <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building: N/A Contract Price of Work: <br />Proposed Use of Building: lHeat Source: []Gas ®Electric <br />[]Other iJ <br />Building Type: I$SFR-Detached ❑SFR-Attached []Duplex ❑Multi -Family-# of Units: ❑Commercial ❑Industrial <br />Type of Project: ®New ❑Addition ❑Remodel ❑Repair <br />❑T.I. ❑Sin ❑S rinkler ❑Demolition <br />❑Chan e of Use <br />DESCRIPTION OF WORK: <br />WFnW4-I-ISTnnn nn III I+R unneF- DFI VIZI <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />_REST 9' <br />ETACHED(( �GARAGE <br />CIS —1 <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: New Addn Alteration Repair <br />Type of Project: New Addn <br />Alteration Repair <br /># of <br />Fixtures <br />List of Fixtures <br /># of <br />Fixtur s <br />List of Fixtures <br /># of <br />Fixtures <br />List of Fixtures <br /># of <br />F tures <br />List of Fixtures <br />o <br />A/C — Air Handling Units <br />Heat Pump <br />1 2 <br />Toilet <br />Backflow Preventer (Inside Bldg) <br />Forced Air Systems <br />2 <br />Unit Heater <br />1 <br />Bathtub <br />o <br />Urinal <br />Gas Piping <br />o <br />Boiler <br />3 <br />Lavatory (Wash Basin) <br />Drinking Fountain <br />Water Heater <br />Refrigeration <br />V <br />Shower <br />Floor Drain <br />o <br />Gas Fireplace <br />o <br />Wood Stove <br />1A <br />Kitchen Sink & Disposal <br />jk <br />Grease Trap <br />o <br />Gas Range <br />Ducting <br />Dishwasher <br />o <br />Roof Drains <br />Clothes Dryer Hookups <br />Other: <br />1 <br />Clothes Washer <br />o <br />Medical Gas <br />Ran e Hood <br />I <br />Water Heater <br />Other: <br />V�1)7= <br />Exhaust Fan <br />o <br />Sink Service/Bar/Mop/etc. <br />Other: <br />SPRINKLER <br />/ SUPPRESSION <br />SYSTEM <br />0 1 <br />Chemical or Water <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 />Date <br />City of Everett Official Use Only <br />PERMI <br />(Revised 912312016) <br />kL <br />