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MEM • PERMIT APPLICATIO <br /> BUILDING/ MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (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'S_)TE INFORMATION rt.':. <br /> PROJECT SITE ADDREss:6624 EVERGREEN WAY, EVERETT, 98203 PROPERTY TAX#:00393000002000 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION ` -- <br /> OWNER NAME: LARSON JOHN A TENANT BUSINESS NAME(Commercial): RAES AUTO BODY <br /> OWNER MAILING ADDRESS: sTREET4030 MISSION BEACH DR <br /> CITY MARYSVILLE STATE WA ZIP 98271 <br /> OWNER PHONE: OWNER EMAI <br /> CONTRACTOR N E: FW—ti t t <br /> CONTRACTOR AD ESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) 2812 ARCHITECTURE <br /> CONTACT NAME: CONTACT PHONE:(425) 252 2153 <br /> PAUL DOUGLAS CONTACT EMAIL:paul@281 chitectu .com <br /> BUILDING INFORMATION `: <br /> Existing Use of Building:S-I Contract Price of ork:$ elk <br /> Proposed Use of Building:S-1 Heat Source: ❑ as DElectric Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Comme ial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprin ❑D ition ❑Change of Use <br /> DESCRIPTION OF WORK: Installation of new demising wall, some demolition, partial enclosure and extension of exterior CMU wall <br /> for a new man and sectional door in existing sectional door opening. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMITvAPPLICATION 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 l SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System I 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 lam 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 /> ..0 0 6, <br /> J July 8th 2020 City of Everett Official Use Only <br /> PERM q ^ 0 <br /> Owner/••;.ti. ed Age Signature Date (Revised 10/10/2018) <br />