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MIN <br /> � PERMIT APPLICATION <br /> BUILDING . ECHANICAL / PLUMBING / SIGN IVIRINKLER/ 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:2401 TAYLOR DRIVE (PROPERTY TAX#:00417000100300 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: HAACK BROTHERS CONSTRUCTION TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 3922 87TH AVE NE. <br /> c,n MARYSVILLE STATE WA ziP 98270 <br /> OWNER PHONE: 425-290-2429 OWNER EMAIL:JOEL@HAACKBROTHERS.COM <br /> CONTRACTOR NAME:ROBINSON PLUMBING INC <br /> CONTRACTOR ADDRESS: STREET29330 124TH AVE NE <br /> CITY ARLINGTON STATE WA zip 98223 <br /> CONTRACTOR PHONE:360-403-7462 CONTRACTOR EMAIL:ROBINSONPLUMBINGINC@GMAIL.COM <br /> CONTRACTOR LICENSE#(REQUIRED):ROBINP*272C2 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 008098 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-508-3459 <br /> KEN ROBINSON-ELMSLIE CONTACT EMAIL:ROBINSONPLUMBINGINC@GMAIL.COM <br /> BUILIDING INFORMATION <br /> Existing Use of Building:SFR Contract Price of Work: $ 12,150.00 <br /> Proposed Use of Building:SFR Heat Source: ❑Gas DElectric ❑Other <br /> BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: Z✓New ❑Addition ❑Remodel ❑Repair ❑T.l. ❑Sign ✓ZSprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: INSTALL FLOW THROUGH (MULTI-PURPOSE) FIRE SPRINKLER SYSTEM IN NEW SFR WITH <br /> 40 HEADS AND 1 RISER PER NFPA 13D. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): I I.-1 <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 4U 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 a,oproved 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 Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> (*! � ' <br /> Own rl uthorized Agent Signature Date (Revised 10/10/2� V O <br /> I �. <br />