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4727 VIEW DR 2021-09-01
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4727 VIEW DR 2021-09-01
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9/1/2021 9:52:29 AM
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9/1/2021 9:52:06 AM
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Address Document
Street Name
VIEW DR
Street Number
4727
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PERMIT APPLICATION <br /> OLT BUILDINGIIP CHANICAL I PLUMBING I SIGN I INKLER 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:4727 View Drive Everett, WA 98203 PROPERTY TAX#: 00605700000701 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Jon Anderson / Lauren Royster TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET4727 View Drive <br /> crry Everett STATE WA ZIP 98203 <br /> OWNER PHONE: (360)798-9086 OWNER EmAiLjanderson98vr@gmail.com <br /> gnlail.COm <br /> CONTRACTOR NAME: 0L.Jvi e <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: D OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: -3b0-14g_yo' , <br /> Jon Anderson CONTACT EMAIL: iAv J rso.., 't' V 1 �i it -& - <br /> BUILDING INFORMATION <br /> Existing Use of Building:CarpOrt Contract Price of Work: $5000 <br /> Proposed Use of Building:Garage Heat Source: ❑Gas DElectric ❑Other <br /> BUILDING USE: ®SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ['Commercial ❑Accessory Structure <br /> Type of Project: New ❑Addition ❑Remodel DRepair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ['Change of Use <br /> DESCRIPTION OF WORK: Converting existing attached carport to a garage. Modifications include pouring a stem wall, tieing a <br /> channel drain into existing system, adding a sidewalk, relocating a hose bibb; o s e s. <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 /> NC—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 1 Other: Hose Bibb Relocation <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 1 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 /> — <br /> PERMIT# <br /> 0 uthorized Agent Signature Date (Revised 10/10/2018) y <br /> � <br />
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