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PERMIT APPLICATIO <br /> lil <br /> BUILDIN MECHANICAL/ PLUMBING / SIGNWPRINKLER/ 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:3202 51 St place sw Everett Wa 98203 PROPERTY TAX#:00815700000400 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Allison and Luis Alberton TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET3205 51st place sw <br /> CITY everett STATE wa ZIP 98203 <br /> OWNER PHONE: 972-844-4486 OWNER EMAIL:aliS0203@yah00.COrn <br /> CONTRACTOR NAME:N W Pacesetter and Company LLC <br /> CONTRACTOR ADDRESS: sTREET6132 137th place <br /> CITY Edmonds STATE Washington ZIP 98028____ __, <br /> r.CONTRACTOR PHONE:206-240-4941 CONTRACTOR EMAIL:sogara@frontiecom ,,, -2( <br /> 5 <br /> CONTRACTOR LICENSE#(REQUIRED):N WPACCL991 D3 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): I,L <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206_240-4941 <br /> Shawn M. OGara CONTACT EMAIL:sogara@frontiers m - - 1 <br /> BUILDING INFORMATION' <br /> Existing Use of Building:single family Contract Price of:Work:$40000 <br /> Proposed Use of Building:Single family Heat Source: Gas OElectric DOther <br /> BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑✓Remodel ❑Repair ❑T.I. ❑Sign ❑Sprin-ler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: addinglivingspace downstairs 6 t 'i ' I <br /> P — �i�t' t,� ty�l- 1 � <br /> ASSOCIATED BUILDING PERMIT#(if applicable): E 2 ,t 0 lt-l1 <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-Sandil- Water Service(behind meter) <br /> Forced Air System' Other: Medical Gas - Water Valves or Fixtures <br /> Gas Fireplace.lt(sert/Log Roof Drains Water Heater <br /> SPRINI9IR/ 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 I comply with the State, ontractors Law 18.27 RCW and 296.200A WAC. <br /> / City of Everett Official Use Only <br /> > i` ` — P':�11 T <br /> • <br /> 10/23/2020 ; `)A --�2� <br /> QWner/Au tiiorized Agent Signature Date Revised 10/10/2018) ��� <br /> Revised 10/10/2018) <br /> - <br />