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515 104TH PL SE 2021-11-08
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515 104TH PL SE 2021-11-08
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11/8/2021 1:19:40 PM
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11/8/2021 1:19:23 PM
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Address Document
Street Name
104TH PL SE
Street Number
515
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Nom PERMIT APPLICATI <br /> 112 <br /> BUILDINOMECHANICAL/ PLUMBING / SIG PRINKLER/ 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:515- 104th Place S.E. PROPERTY TAX#:00389500000700 <br /> LEGAL for new construction: Short Plat/subdivision BEGIS PLAT 2 Lot No.7 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Ann Tafa TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 515- 104th Place S.E. <br /> c,Tn Everett STATE WA ZIP 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:Nighthawk Construction, LLC <br /> CONTRACTOR ADDRESS: STREET 16212 Bothell-Everett Hwy., Suite F216 <br /> cm, Mill Creek STATE WA zip 98012-1602 <br /> CONTRACTOR PHONE:(425)308-2330 CONTRACTOR EMAIL:nighthawkconstructionllc@gmail.com <br /> CONTRACTOR LICENSE#(REQUIRED):NIGHTCL844MF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) Designer/Agent <br /> CONTACT NAME: CONTACT PHONE:(206)225-0068 <br /> Douglas Almond-NuttyCAD Drafting and Design, LLC CONTACT EMAIL:doug.almond@nuttycad.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Single Family Contract Price of Work:$95,000.00 <br /> Proposed Use of Building:Single Family Heat Source: OGas ❑Electric ❑Other <br /> BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ID Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Interior remodel of kitchen, laundry and guest bath. Removal of wall, replaced with new glulam beam. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATI PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixtu • Fixture <br /> Co .t List of Fixtures Count Li of Fixtures Count List of Fixtures Count st of Fixtures <br /> C—Air Handling Units as Piping :-ckflow Preventer(Inside Bldg) 1 Sh r,Tub,or Combo <br /> Boi- Gas Range 1 Clo •-s Washer Ink-Commercial 3-com( p,prep,floor) <br /> 1 Clothes I -r Heat Pump&Ductless 1 Dishwa •-r Sink-Residential(kitchen,bath,bar) <br /> Duct System(R- ••del) Refrigeration Drinking Fou .'n Sink-Utility,laundry,mop <br /> 3 Exhaust Fans(Residen A Commercial Ventilatior Floor Drain 2 Toilet <br /> Exhaust Hood(Type I (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Ty.- II) ater Heater Interceptor-Grease Waste/Water Piping Repair <br /> 1 Exhaust Hood residential) Woos eve Interceptor-Sand/Oi -ter Service(behind meter) <br /> Forced Air S tems Other: Medical Gas _ Water'. -s or Fixtures <br /> Gas Firepl.ce/Insert/Log Roof Drains Water Heater <br /> SPRIN. ER/SUPPRESSION SYSTEM Sewag- jector or Sump Pump Other: <br /> Water Suppress'.n System No.of Heads <br /> Chemical Sup.ression System INo.of Heads <br /> ACKNOW 'DGEMENT: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 I-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 /> PERMIT01-29-21 n\ 2-_ 015 <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br />
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