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01577 PERMIT APPLICATIO <br /> Ok <br /> BUILDIN ECHANICAL / PLUMBING / SIGN <br /> RINKLER / DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 i FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:4632 Fowler AVE Everett WA 98203 PROPERTY TAX#:290531 003001 00 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: METER AT 4632 I-OWLEH LLC TENANT BUSINESS NAME(Commercial): Woocrnaven Apartment; <br /> OWNER MAILING ADDRESS: sTREET4632 Fowler AVE, Everett WA 98203 <br /> CITY Everett STATE WA ZIP 98203 <br /> OWNER PHONE: 1(833)324-6801 <br /> OWNER EMAIL: <br /> CONTRACTOR NAME:G R General Construction and Remodeling LLC <br /> CONTRACTOR ADDRESS: STREET 10029 South Tacoma Way Suite E-7 <br /> Lakewood wa 98499 <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE:(253)961-3535 CONTRACTOR EMAIL:pgrlgorash @grgeneral.nei <br /> CONTRACTOR LICENSE#(REQUIRED):GRGENGC950Q1 CITY OF EVERETT BUSINESS LICENSE#(REQUii2ED): 57593 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:(253)961-3535 <br /> RAVEL GRIGORASH CONTACT EMAIL:pgrigorash@grgeneral.net <br /> BUILDING INFORMATION <br /> Existing Use of Building:aparmen community Contract Price of Work: $20000 <br /> Proposed Use of Building:existing apartment community Heat Source: ❑Gas ❑✓Electric DOther <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex DADU OMulti-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: :New ❑Addition ❑Remodel Repair ❑✓T.I. ❑Sign ❑Sprinkler ❑Demolition OChange of Use <br /> DESCRIPTION OF WORK: Building F, Replacement of existing two layers asphalt shingles with new asphalt shingles. <br /> Install 7/16" OSB sheeting where needed, curent roof deck has tongue and groove 3/4" ship lap, not being removed. <br /> Not modifying the pitch. Insulation will not be exposed. Estimated number of sheets to be installed 170. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION 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 Ventilation 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/ SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System INo.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 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 /> ... <br /> � City of Everett Officie.Use Only <br /> ' GI <br /> y � r�I ��c1 I�11 <br /> l. or t• 0904 ( PERMITS# ' V ,/ v l 1 <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br /> ij <br />