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PERMIT APPLICATION <br />0 BUILDING16ECHANICAL / PLUMBING / SIGN / �1-'RINKLER / DEMOLITION <br />EVERETT 32CITY OF EVERETT PERMIT SERVICES <br />00 CEDAR STREET, EVERETT, WA 98201 <br />WASHINGTON (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: 3208 52ND PL SW EVERETTE WA 98203 <br />PROPERTY TAX #: 00396700301700 <br />LEGAL for new construction: Short Plat/subdiviSion BRIDLE PARK B L K 003 D-00 Lot No. 17 (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: REED LAWRENCE / REED FRANCES TENANT BUSINESS NAME (Commercial): <br />OWNER MAILING ADDRESS: .TREE. 3208 52ND PL SW <br />,IT, EVERETTE STATE WA Zip 98203 <br />OWNER PHONE: (650) 215-3151 <br />OWNER EMAIL: fkreed723@gmail.com <br />CONTRACTOR NAME: UNITED SEATTLE LLC <br />CONTRACTOR ADDRESS: STREET500 SE Everett Mall Way b240, <br />CITY EVERETT STATE WA ZIP 98208 <br />CONTRACTOR PHONE: (206) 479-1973 <br />CONTRACTOR EMAIL: office@ unitedseattlellc.com <br />CONTRACTOR LICENSE #(REQUIRED): UNITESL836P7 <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 54416 <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR El OTHER (Please Specify) Architectural Designer <br />CONTACT NAME: <br />Anton Sagun <br />CONTACT PHONE: 360.389.1327 <br />CONTACT EMAIL: sagunant000@gmail.com <br />BUILDING INFORMATION <br />Existing Use of Building: Single Family Residential <br />Contract Price of Work: $ 40,000 <br />Proposed Use of Building: Single Family Residential <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 ❑T.I. ❑Sign []Sprinkler ❑Demolition ❑Change of Use <br />DESCRIPTION OF WORK: Upstairs remodel. Converting bedroom into masterbathroom/ walk in closet. <br />Demolition of the Garage roof bump out. Addition of a new open deck over garage bump out. <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 />1 <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 Ventilation <br />(Not Heat/AC system) <br />Floor Drain <br />Toilet <br />Exhaust Hood (Type 1) <br />Hose Bibb <br />Urinal <br />Exhaust Hood (Type 11) <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 />I <br />Other: <br />Medical Gas <br />I Water Valves or Fixtures <br />Gas Fireplace/Insert/Log <br />I <br />I <br />I Roof Drains <br />Water Heater <br />SPRINKLER / 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: / 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. / am the owner, or / am authorized by the owner of this property to perform the work for which application is made, <br />and / comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />111ZtdrL La= <br />Owner/Authorized Agent Signature Date <br />City of Everett Official Use Only <br />PTIW'�_ _001K <br />(Revised 1011012018) 9 I <br />