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PERMIT APPLIC/ATIO <br />1® BUILDINGOECHANICAL / PLUMBING / SIGN*/RINKLER /DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETT 3200 CEDAR STREET, EVERETT, WA 98201 <br />WASH114GTON (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov 1 www.everettwa.gov/permits <br />(Blase or Etlack Ink Only Please) PROJECT SITE INFORMATION —�-T <br />PROJECT SITE ADDRESS. 3314 Rockefeller Ave, Everett WA 98201 <br />1PROPERTY TAX #:00436979202500 <br />LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAIVE: 3314 Rockefeller Ave, L.LC TENANT BUSINESS NAME (Commercial): <br />OWNER MAILING ADDRESS: STREETP.O.BOX 1094 T <br />cllY Woodinville STATE WA T.I.0 98201 <br />OWNER PHONE: 425.244.0007 <br />OWNER EMAIL:ismail.seattle@gmail.com { <br />CONTRACTOR NAME) Wrler TN 0 D &-j:jN( —rzxJe-- <br />CONTRACTOR ADDRESS: STREET <br />CITY .STATE ZIP f <br />CONTRACTOR PHONE: <br />CONTRACTOR EMAIL: <br />CONTRACTOR LICENSE #(REQUIRED): Z otr*v—rL$%O#T- <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 6Z754 <br />1 <br />PRIMARY CONTACT: E' OWNER ❑ CONTRACTOR FJ OTHER (Please Specify), i <br />CONTACT NAME: <br />Ismail Mohammad <br />CONTACT PHONE:4.25.244.0007 <br />CONTACT EMAIL: ismail.seattie@gmail.com <br />RUie OINO INFOR&I-ATION <br />Existing Use of Building:SFR Contract Price of Work: $2 <br />Proposed Use of BuildingA0&i4e"t'WA-- _ �!i ��- i Heat Source: ❑Gas ° Electric ❑Diller <br />BUILDING US-: CISFR ❑Townhouse I upiex UADU - r s:_-_❑Commercial ❑Accessory Structure <br />Type Of Project: ❑New ❑Addition ('_✓Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use ----. <br />DESCRIPTION OF WORK: Convert Existing Basement into dwelling <br />-o Do <br />_ I <br />ASSOCIATED BUILDING PERMIT # (if applicable):r__ _ Y< <br />MECHANICAL <br />PERMIT <br />APPLICATION <br />$sLl?.@:t BINIG PERMUT <br />1 <br />APir"LICAI <br />9 14 <br />f <br />List, r•es u <br />Fixture <br />unt <br />List of Fixtures <br />Fixture <br />count <br />List of F' <br />f-'ixiure <br />List of Fixtures <br />Fixture <br />Count <br />_ <br />A/C - Air Handling Units <br />Ga g <br />_Count <br />Backfl venter (Inside Bldg) <br />Shower. " . r Combo <br />rAlWange <br />Clothes W <br />Si 'ercial (3-comp,prep,fio 1) i <br />Chit er <br />Meat Pump&Du tless <br />�l- <br />_ 1 <br />Dishwasher e <br />2 <br />Residential (kitchen, bath, bar) <br />Duct Syst emodel) <br />Refrigeration <br />Drinking Fountain <br />Sink -Utility, laundry, mop _ <br />Exhaust Fans en}' - <br />Commercial Ve tilalio <br />(Not Heat/AC sy tem) <br />Floor Drain <br />Toilet <br />Exhaust Hood (Ty <br />Hose Bibb <br />Urinal 1t <br />Exhaust Hood II) <br />Water Heater <br />- T <br />Interceptor -Grease <br />to/Water Piping Repair _ <br />Exhaust Residential) <br />Wood Stove <br />Intercept, <br />ate vice (u_ehind motor)_ <br />Ford it Systems <br />Madical Gas <br />Water Va - fixtures <br />Gas Fireplace/Insert/Log <br />- <br />Roof Ur <br />Waior Hoaicr R <br />SPRINKLER / SUPPRESSION <br />SYSTEM <br />� <br />Sewage Ejector or Sump Pump <br />Other: <br />Water Suppression System <br />No. of Heads <br />Chemical Suppression System <br />T _ <br />No. of Heads <br />ACKNOWLEDGEMENT- I have reviewed this application and confirm the information stained herein is true and correct. Work done pursuant to this permit r t comply with <br />current federal, state, and local law. The grantfn sly authorizes approved wo nd no deviations therefrom. Deviations must first be out, " n writing 6 orn thv <br />Building Official befor eing authorized under a r rcurnstanc . 1 am the owner, or I am authonz �e owner of this property to perform rk for which application is r,ado, <br />and I comply with th tate Contract Law 8 CW and 296.200A WAC. © O <br />�% Or/iI City ofl=verett Official Use Only <br />PEi ; <br />May 7th, 2020 <br />Owner Signature Date (Revised 10/10/2018) <br />