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PERMIT APPLICATIO <br />I® BUILDINAECHANICAL / PLUMBING / SIGN RINKLER /DEMOLITION <br />EVERETT 32CITY OF EVERETT PERMIT SERVICES <br />00 CEDAR STREET, EVERETT, WA 98201 <br />WASHINGTON (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br />.(Blue ®r ENack Ink Only Please) PROJECT 517E INFORMATION <br />PROJECT SITE ADDRESS:3314 Rockefeller Ave, Everett WA 98201 PROPERTY TAX #:00436979202500 i <br />LEGAL. for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: 3314 Rockefeller Ave, LLC, TENANT BUSINESS NAME (Commercial): <br />OWNER MAULING ADDRESS: STREETP.O.BOX 1094 <br />ciTy Woodinville STATE WA 98201 4 <br />OWNER PHONE: 425.244.0007 <br />OWN1=R EMAIL: ismail.seattle@gmail.com <br />CONTRACTOR NAME<T-BiW.Qwner 1N N OfA't' fV V C, <br />I <br />CONTRACTOR ADDRESS: STREET <br />i <br />CITY STATE ZIP <br />CONTRACTOR PHONE: <br />CONTRACTOR EMAIL: _up <br />CONTRACTOR LICENSE #(REQUIRED) --W A /T"\2oT <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): G2�-SG t <br />A <br />PRIMARY CONTACT: E] OWNER ❑ CONTRACTOR 0 OTHER (Please Specify) <br />CONTACT NAME: <br />Ismail Mohammad <br />CONTACT PHONE:4,25.244.0007 <br />CONTACT EMAIL: ismail.seattle@gmail.com U <br />BUILDING INFORmA`noN <br />Existing Use of Building:SFR <br />Contract Priceof Work: $? _ <br />Proposed Use of Building RO � <br />Heat Source: 0Gas Electric❑Othler_,._,.."____"__-___,-__"-_-_, <br />BUILDING US_: E ISFR ❑Townhouse 5kuplex OADU - rs:_OCommercial ❑Accessory Structure <br />Type of Proje:Ct: ❑New OAddition ZRemodel ❑Repair ❑T.l. ❑Sign i.JSprinkler ❑Demolition OChange of Use <br />DESCRIPTION OF WORK: Convert Existing Basement into dwelling <br />j 10—L -ro O i L—a)( <br />ASSOCIATED B G PERMIT # (i a licable): <br />N CHANICAL PERMIT APPLICATION <br />'4 LUMBING PERIMI'1 APr LICAY10-Jq <br />i''I ure Fixture <br />Cou List of Fixtures Count List, res a <br />FJxtu <br />nt <br />List of Fixtures <br />Fixtuie <br />count <br />List of F's <br />A/C -Air Handling Units <br />Ga g <br />Backfl venter (Inside Bldg) <br />1 <br />shower " r Combo <br />r <br />_ 1 <br />ange <br />Clothes W <br />Si ercial (3-comp,prop,tiool ) <br />1 <br />Clot er <br />4eat Pump&Ductless <br />_1- <br />1 <br />ishwas her <br />2 <br />-Residential (kitchen,bath,bar) <br />Duct Sy st e <br />Refrigeration <br />Prinking Fountain <br />Sink -Utility, laundry, mop _ <br />1 <br />Exhaust Fans en r <br />aliomodel) <br />Commercial Ventil <br />(Not Heat/AC system) <br />loor Drain <br />Toilet ^1 <br />Exhaust Hood (Ty <br />Hose Bibb <br />Urinal <br />Exhaust Hood II) <br />_ <br />Water Fleater <br />_ <br />_ <br />Interceptor -Grease <br />teMJater Piping Repair <br />Exhaust esidential) <br />Wood Stove <br />�T <br />Interceptor -Sand /� _ <br />_ <br />Wate _ Tvire (behind mr.ter) <br />._. ter, <br />Fore Ir Systems <br />_ <br />Medical Gas <br />-- <br />Water `Janf ixtur s - <br />T <br />Gas Fireplace/Insert/Log <br />Roof Ur ' <br />1 <br />Water Heater s <br />RINKLER / SUPPRESSION <br />SYSTEM <br />Sewage Ejector or Sump Pump <br />Other: T <br />Water Suppre.> 'on System <br />No. of Heads <br />j <br />Chemical Suppress <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 grantin ly authorizes approved work and no deviations therefrom. Deviations must first be authorized in writing frorn the <br />Building Official behe eing authorized under a ,rcumstcnc . I am the owner, or 1 am authorized by the owner of this property to perform the work for which application is r• rado, <br />and I comply with th fate Contract o Law 8 CW and 296.200A WAC. I^r1 <br />Cily of FuareJ Offirinl I /RP. Or11v �S. ,5 <br />May 7th, 2020 <br />Owner Signature Date (Revised 10/10/2018) �.. .y .... _w __.. _u _,•, <br />