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0 <br />PERMIT APPLICATION <br />EVERETT <br />BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />iPl 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:710 90th Pi Se <br />PROPERTY TAX #:00605900000500 <br />LEGAL for new construction: Short Plat/subdivision Emerson Park East Lot No. 5 (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: Gedyon Gezahegne and Emebet WOSene TENANT BUSINESS NAME (Commercial): <br />OWNER MAILING ADDRESS: STREET710 90th PI SE <br />CITY Everett STATE WA z,P 98208 <br />OWNER PHONE: <br />OWNER EMAIL: <br />CONTRACTOR NAME. r <br />CONTRACTOR ADDRESS: STREET <br />CITY STATE ZIP <br />CONTRACTOR PHONE: <br />CONTRACTOR EMAIL: <br />CONTRACTOR LICENSE #(REQUIRED): <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Martin Reimers, AIA <br />CONTACT PHONE: 425.377.8786 <br />CONTACT EMAIL:mreimers@conceptarchitecture.Com <br />BUILDING INFORMATION <br />Existing Use of Building:SFR I <br />Contract Price of Work: $ <br />Proposed Use of Building:SFR / Adult Family Home I <br />Heat Source: E]Gas ❑Electric ❑Other <br />BUILDING USE: EISFR ❑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: Convert garage to living space and renovate lower level to create new adult family home. <br />ri� -fv o.k� <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />MECHANICAL <br />PERMIT <br />APPLICAT40N <br />PLUMBING PERMIT <br />APPLICATION <br />Fixtur <br />Count <br />Lisf of Fixtures <br />Fixture <br />Count <br />tst of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />A/C — AI andling Units <br />as Piping <br />Backflow Preventer (Inside Bldg) <br />1 <br />Shower, Tub, or Combo <br />Boiler <br />Gas Range <br />1 <br />Clothes Washer <br />Sink -Commercial (3-comp,prep,floor) <br />1 <br />Clothes Dryer <br />Heat Pump&Ductless <br />1 <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 />2 <br />Exhaust Fans (Reside Ial) <br />Commercial Ventilatior <br />( eat/AC system) <br />Floor Drain _ <br />1 <br />Toilet <br />Exhaust Hood (Ty 1) <br />Hose Bibb <br />Urinal <br />Exhaust Hood ype 11) <br />1 <br />Water er <br />Interceptor -Grease <br />Waste/Water Piping Repair <br />1 <br />Exhaust H,p6d (Residential) <br />Wood Stove <br />Interceptor-Sand/Oil <br />Water Service (behind meter) <br />Force it Systems <br />Other: <br />Medical Gas <br />Water Valves or Fixtures <br />Ga fireplace/Insert/Log <br />Roof Drains <br />1 <br />Water Heater <br />SPAtNKLER <br />/ SUPPRESSION <br />SYSTEM <br />Sewage Ejector or Sump Pump <br />Other: <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 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 bef9ij being authorized under any circumstance. 1 am the owner, or I am authorized by the owner of this property to perform the work for which application is made, <br />and/ comply wit thW State Cc tr. e rs La 18.27 RCW and 296.200A WAC. <br />City of Everett Official Use Only <br />L�7 =A-$% tPERMIT <br />11/19/19 <br />ed Agent Signature Date evised 10/10/2018) <br />