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477- PERMIT APPLICAT1911 <br /> BUILDINO MECHANICAL / PLUMBING / SIGN , SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa gov www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 1504 50TH ST SE EVERET, WA 98203 PROPERTY TAX#:00386300000500 <br /> LEGAL for new construction: Short Plat/subdivision BAKER MC LAUGHLIN Lot No.5&6 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: HENOKE HAILE TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 1504 50TH ST SE <br /> CITY EVERETT STATE WA zIP 980203 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: OWNER <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER ❑ CONTRACTOR '❑OTHER(Please Specify) eMD design practice <br /> CONTACT NAME: CONTACT PHONE:206.775.1471 <br /> Ermias Kotu CONTACT EMAIL:emd.designpractice@gmail.com <br /> BUILDING INFORMATION <br /> Existing Use of Building: Contract Price of Work: $6,0,':.00 5 1p$O <br /> Proposed Use of Building: Heat Source: OGas a Electric ❑Other <br /> BUILDING USE: EISFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑✓T.I. ❑Sign ❑Sprinkler ElDemolition ❑Change of Use <br /> DESCRIPTION OF WORK: Installing grab bars in existing bathrooms and adding new concert ramp walk way. <br /> Vk- <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 /> N/A A/C—Air Handling Units N/A Gas Piping`'� N/A Backflow Preventer(Inside Bldg) N/A Showed,Tub,or Combo <br /> N/A _Boiler N/A Gas R.ange N/A Clothes Washer N/A Commercial(3-comp,prep,floor) <br /> • <br /> N/A •Clothes Dryer N/A H Pump&Ductless N/A Dishwasher N/ Sink-Residential(kitchen,bath,bar) <br /> N/A Duct System(Remodel) N/A r Refrigeration N/A Drinking Fountain N/A Sink-Utility, laundry,mop <br /> N/A Exhaust Fans(Residential) A Commercial Ventilation N/A Floor Drain N/A Toilet <br /> N/A Exhaust Hood(Type I) ,IA (Not Heat/AC system) N/A Hose Bibb N/A Urinal <br /> _ <br /> N/A Exhaust Hood(Type II) N/A Water Heater N/A Interceptor-Grease j,,-/ N/A Waste/Water Piping Repair <br /> - <br /> N/A Exhaust Hood(Reside ial) N/A Wood Stove N/A Interceptor-Sand/pl N/A Water Service(behind meter) <br /> - <br /> N/A Forced Air System N/A Other: N/A Medical Gas N/A Water Valves or Fixtures <br /> N/A Gas Fireplace/I ert/Log N/A N/A Roof Drai N/A Water Heater <br /> SPRINK,,ER/ SUPPRESSION SYSTEM N/A Sew e Ejector or Sump Pump N/A Other <br /> Water Suppression System N/A No.of Heads <br /> Chemical Suppression System N/A 'No.of Heads <br /> ACKNOWLEDGEMENT/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. 1 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� <br /> Only <br /> � PER , �\6/02l2020 <br /> tilL 'iuth'."---4--12(rized76—A <br /> a Date (Revised 10/10/2018) <br />