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2 PERMIT APPLICATI• <br /> BUILD IN I 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 SITE INFORMATION <br /> PROJECT SITE ADDRESS:820 Cady Rd, Unit D102 PROPERTY TAX#:006932-004-102-00 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Craig Wood TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: sTREET8618 Xavier Way <br /> cn,r Everett STATE WA ZIP 98208 <br /> OWNER PHONE:425-218-3758 OWNER EMAIL:craigwood200@icloud.com <br /> CONTRACTOR NAME:None <br /> CONTRACTOR ADDRESS: STREET NA <br /> crry NA STATE NA zp NA <br /> CONTRACTOR PHONE:NA CONTRACTOR EMAIL:NA <br /> CONTRACTOR LICENSE#(REQUIRED):NA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): NA <br /> PRIMARY CONTACT: El OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-218-3758 <br /> Craig Wood CONTACT EMAIL:craigwood@icloud.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Single Family Residence Contract Price of Work:$.25 10 b LA. . ....-- <br /> Proposed Use of Building:Single Family Residence Heat Source: ❑Gas CIElectric ❑Other <br /> BUILDING USE: EISFR ❑Townhouse ❑Duplex DADU LJMulti-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: Kitchen: Replace cabinets, relocate stove, add outlets&can lights, expand wall opening <br /> Guest&Master baths: replace water mix valve,vanity, toilet, exhaust fan, lights,tile. Master bath only: replace tub with shower <br /> All: replace all outlets and switches, upgrade all circuits to GCFI, remove carpet install hardwood (tile in bath's) <br /> ASSOCIATED BUILDING PERMIT#(if applicable): B2.t b l•C 1 I <br /> MECHANICAL PERMIT APPLICATION a PLUMBING PERMIT APPLICATION <br /> ure Fixture Fixture Fixture <br /> Co t List of Fixtures Count Lis Fixtures Count List of Fixtures Count List of Fixtures <br /> 0 A/C—Air Handling Units 0 as Piping 0 Backflow Preventer(Inside Bldg) 2 Shower,Tub,or Combo <br /> 0 B ' r Gas Range 0 Clothes Washer 0 Sink-Commercial(3-comp,prep,floor) <br /> 0 Clothe ryer 0 Heat Pump&Ductless 1 Dishwasher 3 Sink-Residential(kitchen,bath,bar) <br /> 0 Duct Syste emo 0 Refrigeration 0 Drinking Fountain 0 Sink-Utility,laundry,mop <br /> 2 Exhaust Fans 'dential) 0 Commercial Ventilation 0 Floor Drain 2 Toilet <br /> 0 Exhaust d(Type I (Not Heat/AC system) 0 Hose Bibb 0 Urinal <br /> 0 Ex st Hood(Type II) Water Heater 0 Interceptor-Grease 0 Waste/Water Piping Repair <br /> 0 xhaust Hood(Residential) 0 ood Stove 0 Interceptor-Sand/Oil 0 Water Service(behind meter) <br /> Forced Air Systems 0 Othe. 0 Medical Gas 9 Water Valves or Fixtures <br /> 0 Gas Fireplace/Insert/Log 0 Roof Drains 0 Water Heater <br /> SPRINKLER/SUPPRESSION SYSTEM 0 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 l am authorized by the owner of this property to perform the work for which application is made, <br /> and!comply wit the,State�tractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PE I # <br /> 1 /21// i\o\' 01 O <br /> Owner/ uthorized Agent Signature Date (Revised 10/10/2018) <br /> I <br />