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3104 TULALIP AVE 2021-09-01
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3104 TULALIP AVE 2021-09-01
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9/1/2021 9:42:35 AM
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9/1/2021 9:41:29 AM
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Address Document
Street Name
TULALIP AVE
Street Number
3104
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MPCTIO <br /> N,�/� BUILDINECHANICAL /PERPLUM ITABINGPLI/ SIGA SPRINKLER I DEMOLITION <br /> / /�� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:3104 Tulalip Ave. PROPERTY TAX#:00561 901 1 00201 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Adam & Laura Braddock TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 3104 Tulalip Ave. <br /> clry Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 425-903-0653 OWNER EMAIL:adambraddock@johnlscott.com <br /> CONTRACTOR NAME:Aaron Glenn - Done Right Construction & Restoration, LLC <br /> CONTRACTOR ADDRESS: STREET P.O. Box 851 <br /> CITY MUKILTEO STATE WA ZIP 98275 <br /> CONTRACTOR PHONE:425-344-9668 CONTRACTOR EMAIL:aarong@donerightconstruct.com <br /> CONTRACTOR LICENSE#(REQUIRED):DONERRC933PZ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) Owner's Agent <br /> CONTACT NAME: CONTACT PHONE:206-281-7500 <br /> Chris Bacus - Pacific Engineering Tech. CONTACT EMAIL:cbacus@pacengtech.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Single Family Residence Contract Price of Work: $ <br /> Proposed Use of Building: Heat Source: ❑Gas DElectric DOther <br /> BUILDING USE: DSFR ❑Townhouse ElDuplex ❑ADU ❑Multi-Family-# Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: ONew ❑Addition ❑Remodel ❑✓Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Fire Damage Walkthrough <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer _Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry, mop <br /> Exhaust Fans(Residential) Commercial Ventilatior\ Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) •Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) •Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems ,Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER/SUPPRESSION SYSTEM - ' Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System 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 /> City of Everett Official Use Only <br /> PERMIT <br /> June 7,2019 DLO no\ <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br />
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