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0 • <br />PERMIT APPLICATION <br />BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P 425-257-8810 1 FAX 425-257-8857 ) (E) everetteps@everethva.gov I www.everettwa.gov/permits <br />(Blue or Black Ink only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: 600 LAUREL DRIVE <br />PROPERTY TAX #: 00561900400100 <br />LEGAL for new construction: Short Platisubdivision RUCKER PARK ADD SLK °°s D-a Lot No. ' ` (attach copy of long legal descnption) <br />CONTACT INFORMATION <br />OWNER NAME: MICHAEL FINCH <br />TENANT BUSINESS NAME (Commercial): <br />OWNER MAILING ADDRESS: sTREET600 LAUREL DRIVE <br />e -EVERETT <br />STATE WA -;p 98201 <br />OWNER PHONE: 206.618A694 <br />OWNER EMAIL: MichaelFinch@CenturyPacificLP.com <br />CONTRACTOR NAME: MICHAEL FINCH (OWNER) <br />CONTRACTOR ADDRESS: sTRaa,600 LAUREL DRIVE <br />CITY EVERETT <br />STATE WA ziA 98201 <br />CONTRACTOR PHONE: 206,618.4694 <br />CONTRACTOR EMAIL: MichaelFinch@CenturyPacificLP.com <br />CONTRACTOR LICENSE #(REQUIRED;: N/A (OWNER) <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): N/A <br />PRIMARY CONTACT: R OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />MICHAEL FINCH <br />CONTACT PHONE.: 206.618.4694 <br />CONTACT EMAIL: MichaelFinch nturyPa ficLP.com <br />BUILDING INFORMATION <br />Existing Use of Building: SINGLE FAMILY RESIDENTIAL <br />Contract Price of W k: $' <br />Proposed Use of Building: EXISTING <br />Heat Source. ❑Ga ❑Elects I]Other RADIANT <br />BUILDING USE: OSFR ' -'Townhouse JDuplex `ADU Multi -Family - # Units: , mercial —Accessory Structure <br />Type of Protect: uNew RIAddition _✓ Remodel Repair <br />_T.I. Sign _.�Spnnkler !Demolit+on _'Change of Use <br />DESCRIPTION OF WORK: RENOVATION TO EXISTING SINGLE FAMILY RESIDENCE, INCLUDING THE ENCLOSURE OF <br />OF COVERED PORCH. A-0Z �qS E7 23S'15 <br />ASSOCIATED BUILDING PERMIT # (if applicable): 4VA4� <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 />ixtur8 <br />Count <br />List of Fixtures <br />Fixture <br />Counr <br />List of Fixtures <br />A/C — Air Handling Units <br />as Piping <br />Backflow Reventer (Inside Biagi <br />Shower. Tub, or Comb <br />Boiler <br />Gas Rang <br />Clothes Washer <br />Sink-Commerci --..omp.preo.floo-) <br />Clothes Dryer <br />Heat P p&Ductless <br />IDishwasher <br />= <br />Sink -Re tial (kitchen,batn.par) <br />Duct System (Remodel; <br />a geration <br />IDrinking Fountain <br />S -Utility. laundry. mop <br />Exhaust Fans (Residential) <br />ommercial Ventilatior <br />(Not HeaVAC system) <br />Floor Drain <br />To7et <br />Exhaust Hood (Type I} <br />Hose Bibb <br />Unnal <br />Exhaust Hood ;Type Ili <br />Water Heater <br />interceptor -Grease <br />Waste/Water Piping Repair <br />Exhaust Hood (Reside• <br />Wood Stove <br />Interceptor-Sand%Oil <br />Water Service (behind meter; <br />Forced Air Systems <br />10ther <br />Medical Gas <br />Water Vaives or Fixtures <br />Gas Fireplace/Insertr g <br />Roof Drains <br />Water Heater <br />SPRINKLER/POPPRfSSION <br />SYSTEM <br />Sewage E for or Sump Pump <br />Other <br />Water Suppression Syste. <br />I No. of Heads <br />Chemical Suppression stem <br />INo of Heads <br />ACKNOWLEDGEMENT: 1 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 wrfting from the <br />Building Official before being authorized under any circumstance. i am the owner, or t am authorized by the owner of this property to perform the work for which application is made. <br />and / comply with t t State Contractors Law 18.27 RCW and 298.200A WAC, <br />I J) City of Everett Official Use Only <br />/t rp_ <br />�t .7. <br />PE i T # <br />�O 7�kA44_ <br />Owner Authorized Igent Signature Date <br />(Revised 1011012018) <br />i�z <br />