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I PERMIT APPLICATIO <br />BUILDING�ECHANICAL / PLUMBING / SIGN PRINKLER /DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETT 3200 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 air Slack Ink "Only Please) „ . ' ;"PROJECT SITt"000RMATION <br />PROJECT SITE ADDRESS:3314 Rockefeller Ave, Everett WA 98201 PROPERTY TAX #:00436979202500 <br />LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) l <br />N COTAC`i'INFORMA►TION <br />OWNER NAIVIE: 3314 Rockefeller Ave, LLC TENANT BUSINESS NAME (Commercial): <br />OWNER MAILING ADDRESS: STHEETP.O.BOX 1094 <br />CITY Woodinville STATE WA 71p 91201 <br />OWNER PHONE: 425.244.0007 <br />1OWNER EMAIL: ismail.seattle@gmail.com <br />— <br />CONTRACTOR NAME:Tf-+B ty9'( , Zo3IJO VA71V 7V0 <br />CONTRACTOR ADDRESS: STREET <br />CITY STATE ZIP f <br />--I <br />CONTRACTOR PHONE: CONTRACTOR EMAIL: I <br />CONTRACTOR LICENSE #(REQUIRED): ZN r""' 1 �-Zd� CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑OTHER (Please Specify) <br />CONTACT NAME: <br />Ismail Mohammad <br />CONTACT PHONE: 425.244.0007 <br />CONTACT EMAIL: ismaii.seattle@gmail.com �^ <br />_ <br />MIL IDING INFORMATION <br />Existing Use of Building:SFR <br />Contract Price of Work: $2 <br />Proposed Use of Building Doi?( -ex <br />_ <br />1 leat Source: ❑Gas f7lElectric ❑Otl-ter___......... __- __,_ <br />BUILDING USE: ❑SFR ❑Townhouse duplex ❑ADU - - ni S:__R ❑Commercial ❑Accessory Structure <br />_ <br />Type of Project: ❑New ❑Addition ZRemodel ❑Repair ❑T.i. ❑Sign i . Sprinkler ❑Demolition ❑Change of Use <br />DESCRIPTION OF WORK: Convert Existing Basement into dwelling <br />% D o PI -..EEC <br />i <br />ASSOCIATED BUILDING PERMIT # (if applicable):N <br />MECHANICAL <br />PERMIT <br />APPLICATION <br />PLUMBING PERMIT <br />APPLICAT110H <br />Fi r g <br />Limit Tres a <br />Count <br />Fixture <br />unt <br />List o fixtures <br />ixtuve <br />oust <br />List of F' s <br />Fixture <br />Count <br />List of Fixtu e <br />A/C — Air Hand fig Unit <br />Ga g <br />Backfl venter (Insi BI <br />_ <br />Shower Combo —__ <br />r <br />1 <br />ange <br />1w <br />Clothes W <br />Si orcial (3-cornp,prop, 'too; ) <br />1 <br />Chit er <br />Ti7eat Pump&Ductless <br />1 <br />Dishwasher <br />2 <br />Residential (kitchen, bath, bar) <br />DUct Syst e odel) <br />Refrigeration <br />Drinking Fountain <br />Sink -Utility, laundry, mop <br />1 <br />Exhaust Fans en I <br />Commercial Ventilatior <br />(Not Heat/AC system) <br />Floor Drain - <br />Hose Bibb <br />Toilet <br />Urinal <br />tc/Water Piping Repair <br />Exhaust Hood (Ty <br />Exhaust Ho d II) <br />Water Heater <br />Interceptor -Grease <br />1 <br />Exhaust esidential) <br />Wood Stove <br />Interceptor -Sand/ <br />Wat ice (bchind muter) <br />Ford Ir Systems <br />— <br />Medical Gas <br />— -----i <br />Water Va -f ixtures V <br />-_I <br />Gas Fireplace/Insert/Log <br />Roof Ur _ <br />1 <br />V+/ator riom— i <br />- SPIiINKL,ER (SUPPRESSION SYSTEM :=; <br />Sewage Ejector or Sump Pump <br />Other: <br />Water Suppression System <br />No. of Heads <br />Chemical Suppression System lNo. <br />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 grantin ply authorizes approved work and no deviations thererrom. Deviations must first' be authorized in writing from the <br />Building Official befor, eing authorized under a rcumstanc . I am the owner, or l am authorized by the owner of this propettrfttlye� rk for which application is r;adu, <br />and / comply with th tate Contract Law 8 C W and296.200A WAC. v <br />�% rN City of E-vereft Official Use Only <br />May 7th, 2020 <br />0wnerA=MttnWSignature Date (Revised 1011012018) y <br />