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MIMI <br /> i <br /> BUILDINGGECHANICAL / PLUMBING / SIGN <br /> PERMIT APPLICATIO <br /> 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:2925 Rucker Ave PROPERTY TAX#: 00439168101100 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Leger/Lapinski Properties TENANT BUSINESS NAME(Commercial): Vacant <br /> OWNER MAILING ADDRESS: STREET 2925 Rucker Ave <br /> cny Everett STATE WA_ \p.• ZIP 98201 <br /> OWNER PHONE: 425-330-7773 OWNER EMAIL: rick©rCikre.COm JV•3y- c ,rs.l'.Bn'ti <br /> CONTRACTOR NAME: Greater Seattle Construction, LLC <br /> CONTRACTOR ADDRESS: STREET 10420 E Riverside Dr, Ste 103 <br /> CITY Bothell STATE WA ZIP 98011 <br /> CONTRACTOR PHONE: 425-949-5601 CONTRACTOR EMAIL: Corey©greaterseattleconstruction Om <br /> CONTRACTOR LICENSE#(REQUIRED): GREATERSC881 MR CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): i 52803 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-949-5601 ( , <br /> Corey Boyd CONTACT EMAIL: corey@greaterseattleconstruction.com <br /> BUILDING INFORMATION <br /> Existing Use of Building: Commercial -general use Contract Price of Work: $80,000 <br /> Proposed Use of Building: Same Heat Source: OGas ElElectric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: LJCommercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel Repair T.I.❑ ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Repairs due to fire damage, mainly drywall and electrical work. There are some structural damages to <br /> the framing. I have details from our structural engineer for the small structural damage at the facade/entryway. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): .c-'" 2 Lam,, n.T - f-)Dk <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 /> J 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 ' 1 Sink-Utility,laundry, mop <br /> Exhaust Fans(Residential) Commercial Ventilatior Floor Drain 1 Toilet <br /> Exhaust Hood(Type I) 1 (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 1 Water Heater <br /> SPRINKLER I SUPPRESSION SYSTEM - Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System 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.1 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 /> S 2 0 eZa PERMT# /)' <br /> x"Er_ne),.p <br /> Ow r/Authorized ignature ate (Re(i'd/10/201 1. L <br /> A3 aot�a3� <br />