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r❑ <br />[ PER10IT APPLICATIO <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 1 FAX425-257-8857 1(E)everette s@eve tt <br />p re wa.gov I www.everettwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS:6807 Highland drive <br />PROPERTY TAX M <br />LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: Lucas Williams TENANT BUSINESS NAME (Commercial): <br />OWNER MAILING ADDRESS: STREET6807 Highland Drive <br />c,Ty Everett STATE WA Z,, 98203 <br />OWNER PHONE: (253) 508-0784 <br />OWNER EMAIL: IWIIIIamS-77@IIve.COm <br />CONTRACTOR NAME: Full Spectrum Design <br />CONTRACTOR ADDRESS: STREET4859 Alpine Drive <br />CITY Everett STATE WA Z,R 98203 <br />CONTRACTOR PHONE:425-330-5469 <br />1CONTRACTOR EMAIL:fullspectrumdesign@hotmaii.com <br />CONTRACTOR LICENSE #(REQUIRED): FULLSD*044KG <br />ICITY OF EVERETT BUSINESS LICENSE #(REQUIRED): # 028519 <br />PRIMARY CONTACT: ❑ OWNER ED CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Daniel Morgan <br />CONTACT PHONE.425-330-5469 <br />CONTACT EMAIL: fullspectrumdesign@hotmail.com <br />BUILDING INFORMATION <br />Existing Use of Building:n/a 1contract <br />Price of Work: $1600 <br />Proposed Use of Building: n/a <br />Heat Source: :]Gas ❑Electric ❑Other <br />BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ❑Commercial ❑Accessory Structure <br />Type of Project: _New ❑Addition ❑Remodel ❑Repair LIT. 1. []Sign ❑Sprinkler ❑Demolition ❑Change of Use <br />DESCRIPTION OF WORK: Hot tub placed on existing concrete slab. Fenced yard. Locking cover. 7 feet from fenceline. <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />MECHANICAL PERMIT <br />APPLICATION <br />PLUMBING PERMIT <br />APPLICATION <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />A/C —Air Handling Units <br />Boiler <br />Clothes Dryer <br />Duct System (Remodel) <br />Exhaust Fans (Residential) <br />Gas Piping <br />Gas Range <br />Heat Pump&Ductless <br />Refrigeration <br />Commercial Ventilatior <br />(Not Heat/AC system) <br />Backflow Preventer (Inside Bldg) <br />Clothes Washer <br />Dishwasher <br />Drinking Fountain <br />Floor Drain <br />Shower, Tub, or Combo <br />Sink -Commercial (3-comp,prep,floor) <br />Sink -Residential (kitchen, bath, bar) <br />Sink -Utility, laundry, mop <br />Toilet <br />Exhaust Hood (Type 1) <br />Hose Bibb <br />Urinal <br />Exhaust Hood (Type II) <br />Exhaust Hood (Residential) <br />Forced Air Systems <br />Gas Fireplace/Insert/Log <br />Water Heater <br />Wood Stove <br />Other: <br />Interceptor -Grease <br />Interceptor-Sand/Oil <br />Medical Gas <br />Roof Drains <br />Waste/Water Piping Repair <br />Water Service (behind meter) <br />Water Valves or Fixtures <br />Water Heater <br />SPRINKLER / SUPPRESSION <br />Water Suppression System <br />Chemical Suppression System <br />ACKNOWLEDGEMENT <br />SYSTEM <br />I No. of Heads <br />No. of Heads <br />Sewage Ejector or Sump Pump <br />Other: <br />^� • UvO i c-eweu .... ..vNucduon 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 />Buildic�' 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 c"bmply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />/ City of Everett Official Use Only <br />/ r ` PER IT # <br />��C� <br />er rized Agent ignature Date (Revise 0/10/2018) <br />n <br />