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MEM- PERMIT APPLICATION <br /> BUILDINOMECHANICAL I PLUMBING / SIGN <br /> PRINKLER I 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: 3226 Rucker Ave Everett, WA 98201 PROPERTY TAX#: 00437577002000 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Real Property Funding Group LLC TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 7500 Roosevelt Way NE <br /> cln Seattle STATE WA Zip 98115 <br /> OWNER PHONE: 206-930-0377 OWNER EMAIL: ryker@rpare.com <br /> CONTRACTOR NAME: Real Property Funding Group LLC <br /> CONTRACTOR ADDRESS: STREET 7500 Roosevelt Way NE <br /> CITY Seattle STF,rL WA ZIP 98115 <br /> CONTRACTOR PHONE: 206-930-0377 CONTRACTOR EMAIL: ryker@rpare.com <br /> CONTRACTOR LICENSE#(REQUIRED): REALPPF8 5 5 N 5 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 60009 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) 206-930-0377 <br /> CONTACT NAME: CONTACT PHONE: 206-930-0377 <br /> Ryker Young CONTACT EMAIL: ryker@rpare.com <br /> , <br /> \ BUILDING INFORMATION <br /> Existing Use of Buildir g Duplex \ Contract Price of Work: $ I G7 c7 C: <br /> Proposed Use of Buildin" : Duplex ` Heat Source: ❑Gas ❑Electric ❑Other <br /> BUILDING USE: ❑SFR '❑Townhou e ❑✓Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New Additi ❑Remodel ❑✓Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: I(7/70 letBo 2' Oc4&- <br /> c4 <br /> Plumbing & Mechanical updates (new fixtures, appliances, toilets, bath fans, etc), - <br /> Cc� s4 S * - <br /> ASSOCIATED BUILDING PERMIT#(if applicable): Co e aF WWI< <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) 2 Shower,Tub,or Combo <br /> Boiler Gas Range 2 Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> 2 Clothes Dryer Heat Pump&Ductless 2 Dishwasher 4 Sink-Residential(kitchen,bath.bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility, laundry,mop <br /> 2 Exhaust Fans(Residential) Commercial Ventilation Floor Drain 2 Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) 2.- Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> 2 Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> 1, Forced Air Systems Other: furnace Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains ' Water Heater <br /> SPRINKLER/ SUPPRESSION SYSTEM Sewage Ejector or Sump Pump 2 Other: fridge ice maker <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System 'No.of Heads <br /> ACKNOWLEDGEMENT:1 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 Contrac rs Law 18.27 RCW and 296.200A WAC. <br /> / , City of Everett Official Use Only <br /> v ��I 1 � PE <br /> M\ Q\000 __ <br /> Owner/Authorized A ent Signature Date (Revised 10/10/2018) <br />