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• PERMIT APPLICATIONS <br /> Liz <br /> BUILDING /MECHANICAL/ PLUMBING / SIGN /SPRINKLER/ 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:2609 Wetmore Ave PROPERTY TAX#:00562461 1 00500 <br /> LEGAL for new construction: Short Plat/subdivision Lot No._ (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: HEMMAT ALLEN & SHARON TENANT BUSINESS NAME(Commercial): Viking Construction <br /> OWNER MAILING ADDRESS: STREET 161 1 EVERETT AVE, EVERETT <br /> cr v Everett STATE WA Zip 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:Heath Northwest <br /> CONTRACTOR ADDRESS: STREET727 South 96th St <br /> c„ Seattle STATE WA Zip 98108 <br /> CONTRACTOR PHONE:206-623-1 00 CONTRACTOR EMAIL:CryStaic p@heathnorthwest.com <br /> CONTRACTOR LICENSE#(REQUIRED):HEATHN I981 JE CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 04-1 61 7 <br /> PRIMARY CONTACT: ❑OWNER El CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-623-31 00 <br /> Crystal Canter CONTACT EMAIL:crystalc@heathnorthwest.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Commercial Contract Price of Work:$5930 <br /> Proposed Use of Building:COmmerCial Heat Source: OGas ❑Electric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex EADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> Type of Project: ENew EAddition ❑Remodel ❑Repair ❑T.l. ❑✓Sign ESprinkler EDemolition ❑Change of Use <br /> DESCRIPTION OF WORK: Installation of(1) LED illuminated double faced blade sign reading "Viking Construction". <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 Ventilatior 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 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.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/comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PER # - � <br /> i!LeI1 �I \ <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br />