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6601 BEVERLY BLVD 2022-01-24
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6601 BEVERLY BLVD 2022-01-24
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1/24/2022 10:33:39 AM
Creation date
1/24/2022 10:32:50 AM
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Address Document
Street Name
BEVERLY BLVD
Street Number
6601
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PERMIT APPLICATION <br /> 112 <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:6601 Beverly Blvd Everett Wa 98203 PROPERTY TAX#:00531600001300 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Maverick Consultinq/BILY4EVER TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET P.O. Box 1154 <br /> CITY Everett STATE Wa ZIP 98206 <br /> OWNER PHONE: (425) 405-3648 OWNER EMAIL:Info@maverickhldcs.com <br /> CONTRACTOR NAME:Price Construction Services, LIC. <br /> CONTRACTOR ADDRESS: STREET 104 Paradise Parkway <br /> CITY I;ranita Falls STATE Wa ZIP 98252 <br /> CONTRACTOR PHONE:425-876-4378 CONTRACTOR EMAIL:BradPCSLLC@gmail.com <br /> CONTRACTOR LICENSE#(REQUIRED):PRICECS857DW CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: <br /> CONTACT EMAIL: <br /> BUILDING INFORMATION <br /> Existing Use of Building:SFR _Contract Price of Work:$ Oete• oO <br /> Proposed Use of Building:SFR Heat Source: ❑Gas CIElectric ❑Other <br /> BUILDING USE: DSFR ❑Townhouse ❑Duplex EADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ✓❑Remodel ❑✓Repair ❑T.I. ❑Sign ❑Sprinkler EDemolition ❑Change of Use <br /> DESCRIPTION OF WORK: Add 3/4 bath upper floor, new Plumbing throughout (supply and waste) <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 /> NC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) 2 Shower,Tub,or Combo <br /> Boiler Gas Range 1 Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless 1 Dishwasher 3 Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain 1 Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilation Floor Drain 2 Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) 2 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/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <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 St ntractors Law 18.27 RC' - .296.200A WAC. <br /> City of Everett Official Use Only <br /> - '-�ta&i 7-7(e _l7 PERMI0- /a — Vol <br /> Owner/Authoriz Agent Signature Date (Revised 10/10/2018) <br />
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