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• ! <br /> MEM PERMIT APPLICATION <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:832 80th st SW Everett WA 98203 PROPERTY TAX#:28041200305400 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Roger Wiggins TENANT BUSINESS NAME(Commercial): Wolfe Plumbing <br /> OWNER MAILING ADDRESS: sTREET7034 NE 153rd Plave <br /> c„ Kenmore STATE wa ZIP 98028 <br /> OWNER PHONE: 206-310-7759 OWNER EMAIL:ROGERWIGGINS1 @GMAIL.COM <br /> CONTRACTOR NAME:WOIfe Plumbing <br /> CONTRACTOR ADDRESS: STREET17321 TYE ST SE suite B <br /> �T Monroe STATE WA ZIP 98272 <br /> CONTRACTOR PHONE:360-794-8621 CONTRACTOR EMAIL:ryans@wolfepi.Com <br /> CONTRACTOR LICENSE#(REQUIRED):WOlfepiO33Cj CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 32640 <br /> PRIMARY CONTACT: ❑OWNER O CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-219-0761 <br /> Ryan Star CONTACT EMAIL:ryans©wolfepi.com <br /> BUILDING INFORMATION <br /> • <br /> Existing Use of Building:office/warehouse/storage Contract Price of Work: $ �; LIL 'JV <br /> Proposed Use of Building:Office/warehouse/Storage Heat Source: OGas DElectric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> Type of Project: New Addition ❑Remodel ❑Repair T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: re-arange existing bathrooms and make room for plans area and printers. Re-arrange lunch room area. <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/InserULog 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/am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> k/L- <br /> 147/1:26 f-y PERMIT <br /> Nn Fc1) <br /> Ownef/r ithorizedAgen r ature Date (Revised 10/10/2018) <br />