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PERMIT APPLICATIOO <br />EVERETT <br />WASHINGTON <br />BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET. EVERETT, WA 98201 n <br />(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:3424 Kromer Ave, Everett, Wa. 98201 <br />PROPERTY TAX #:00437783002500 <br />Lc^vAL for new cuilst�uctiOn: SI ort FlaUsubdivision Block ase, f eplat cf eVo s a ;o and eci LOt NO.2` ° d-- (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: Randy and Kara Pinettl TENANT BUSINESS NAME (Commercial): <br />OWNER MAILING ADDRESS: STREET3424 Kromer Ave. <br />clTv Everett STATE Wa zip 98201 <br />OWNER PHONE: <br />OWNER EMAIL: <br />CONTRACTOR NAME: Landcrafting Inc. <br />CONTRACTOR ADDRESS: STREET 12724 127th Ave. SE <br />CITY Snohomish STATE Wa. „P 98290 <br />CONTRACTOR PHONE: 206-465-1477 CONTRACTOR EMAIL: landcrafting@gmall.Com <br />CONTRACTOR LICENSE #(REQUIRED): LANDCI*980BP <br />ICITY OF EVERETT BUSINESS LICENSE #(REQUIRED): Z <br />PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Andy Romanelli <br />CONTACT PHONE: 206-4.65-1477 <br />CONTACT EMAIL: landcrafting@gmail.r,.om. <br />BUILDING INFORMATION <br />Existing Use of Building: Residential 7' �, <br />Contract Price of Work: $$125,000.00 <br />Proposed Use of Building: Residential <br />Heat Source: 1 as CZElectric ❑Other <br />BUILDING USE: EISFR ❑Townhouse [-]Duplex ❑ADU ❑Multi -Family - # Units: ❑Commercial ❑Accessory Structure <br />Type of Project: ❑New ZAddition ❑Remodel ❑Repair LT. 1. ❑Sign ❑Sprinkler — l_1Demolltion ❑Change of Use <br />DESCRIPTION OF WORK: <br />New Carport, Front and Back Porch Roofs, Retaining Walls, and Landscape Additions <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />MECHANICAL <br />PERMIT <br />APPLICATION <br />PLUMBING PERMIT <br />APPLICATION <br />Fixture <br />r­u , <br />List of Fixtures <br />Fixture <br />1 - <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />« <br />Count <br />List of Fixtures <br />A/C — Air Handling Units <br />Gas Piping <br />Backflow Preventer (Inside Bldg) <br />Shower, Tub, or Combo <br />Boiler <br />Gas Range <br />Clothes Washer <br />Sink -Commercial (3-comp,prep, floor) <br />Clothes Dryer <br />Heat Pump&Ductless <br />Dishwasher <br />Sink -Residential (kitchen,bath,bar) <br />Duct System (Remodel) <br />Refrigeration <br />Drinking Fountain <br />Sink -Utility, laundry, mop <br />LXhaUSt Fans (Residential) <br />Commercial Ventilation <br />(Not Heat/AC system) <br />Hoor Drain <br />I or let <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 />Other: <br />Medical Gas <br />Water Valves or Fixtures <br />Gas Fireplace/Insert/Log <br />Roof Dr <br />Water Heater <br />SPRINKLER / SUPPRESSION <br />SYSTEM <br />Sewage Ejector or Sump Pump <br />Other: <br />Water SuppressionSystem <br />INo. of Heads <br />Chemical Suppression System <br />I No. of Heads <br />ACKNOWLEDGEMENT: l 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 t/Ze State Ppntraktors Law 18.27 RCW and 296.200A WAC. <br />Agent Signature Date <br />City of Everett Official Use Only <br />PER ' L <br />(Revised 1011012018) <br />v <br />