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6415 ELLIOTT WAY 2021-12-16
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6415 ELLIOTT WAY 2021-12-16
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12/16/2021 10:32:04 AM
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12/16/2021 10:31:04 AM
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Address Document
Street Name
ELLIOTT WAY
Street Number
6415
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PERMIT APPLICATIOIft <br /> BUILDING ECHANICAL/ PLUMBING /SIGN RINKLER/ 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:6415 Elliott Way Everett, WA 98203 PROPERTY TAX#:00392901101800 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: NW Elements Design LLC TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: sTREEr4704 268th AVE NE <br /> STY Redmond STATE WA zip 98053 <br /> OWNER PHONE:206-713-0650 OWNER EMAIL:lindaCIOeS@gmail.Com <br /> CONTRACTOR NAME:JHB Construction <br /> CONTRACTOR ADDRESS: STREEr12414 Hwy 99 Ste 6 <br /> CITY Everett STATE WA Zip 98204 <br /> CONTRACTOR PHONE:(425) 710-0650 CONTRACTOR EMAIL:Info@jhbconstruction.com <br /> CONTRACTOR UCENSE#(REQUIRED):JHBLTL*968NQ CITY OF EVERETT BUSINESS UCENSE#(REQUIRED): 37769 <br /> PRIMARY CONTACT: El OWNER El CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:Linda 2067130650 Stephen 4259711886 <br /> NWED Linda Cloes JHB Stephen Gibbons CONTACT EPAAlLlindacloes@gmail.com info@JHBconstruction.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:SFR Contract Price of Work:080,000 <br /> Proposed Use of Building:SFR Heat Source: ❑Gas DElectric ❑Other <br /> BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-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: Cosmetic updates,finish basement, bring stairs up to 2015 IBC and IEBC, open wall between kitchen <br /> and dining room, update plumbing and electrical (separate permits), replace porch, reconfigure kitchen entrance, add bathroom <br /> to upper level. widen stair entry on the main floor, add energy efficient electric heaters and 2 electric fireplaces. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): B2006-036 (Plumbina and electrical permits done by the contractors) <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 Fixtur <br /> A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub, ombo <br /> Boiler Gas Range Cletkes Washer Sink-C ercial(3-comp,prep,floor) <br /> 2 Clothes Dryer Heat Pump&Ductless Dishwashe( Sulk Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Foun Sink-Utility,laundry,mop <br /> 5 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 /> 1 Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oiy' \ Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas r Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drain Water <br /> SPRINKLER/ SUPPRESSION SYSTEM Se Ejector or Sump Pump Other. <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System No.of Heads <br /> ACKNOWLEDGEMENT:!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 th tate Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> a(a&'CL7,5‘ 2L0c, <br /> 0 er/Authorized Agent Signature Date ( vised 10/10/201 <br />
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