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• <br /> PERMIT APPLICATION <br /> BUILDING / MECHANICAL/ PLUMBING 1 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 Consulting/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@maverlckhldgS.COM <br /> CONTRACTOR NAME:Ruiz Roofing <br /> CONTRACTOR ADDRESS: STREET 107 77th PI SW <br /> CITY Fvaratt STATE Wa ZIP 98203 <br /> CONTRACTOR PHONE:425-344-5219 CONTRACTOR EMAIL:ruizroofing4@gnlall.COM <br /> CONTRACTOR LICENSE#(REQUIRED):RU IZRRL828KH CITY OF EVERETT BUSINESS LICENSE#(REQUIRE ): <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE4--"723 �7 4,%3 7 <br /> CONTACT EMAIL:-V /,v �����/��- �l Z 5 6-2 <br /> BUILDING INFORMATION <br /> o0 <br /> Existing Use of Building:SFR Contract Price of Work: $ /v^It b0• <br /> Proposed Use of Building:SFR Heat Source: ❑Gas SElectric ❑Other <br /> BUILDING USE: DSFR ETownhouse ❑Duplex ❑ADU El Multi-Family-#Units: Commercial EAccessory Structure <br /> Type of PrAect: New ❑Addition ❑✓Remodel ❑✓Repair ❑T.l. ❑Sign Sprinkler Ebemolition ❑Change of Use <br /> DESCRIPTION OF WORK: Remove existing roof(3-layers) and install new 1/2" plywood w/30 year composition roofing material <br /> ASSOCIATED BUILDING PERMIT#(if applicable): (90L ?(J <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-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 1 comply with the State Contrac 18.27 RCW and 296. <br /> City of Everett Official Use Only <br /> PERMIT# 1 /), 05 /)i <br /> s2i•i9 AIL I`✓J� IFJI� <br /> Owner/Authorized Agent gnature Date (Revised 10/10/2018) <br />