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PERMIT APPLICATIOIS <br />BUILDINAECHANICAL / PLUMBING / SIGN rSPRINKLER / DEMOLITION <br />EVERETT <br />WASHINGTON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 1 FAX 425-257-8857 1(E) everetteps@everettwa.gov I www.everettwa.gov/permits <br />(Bbe orBlock Ink Only PNesS) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS:2420 Walnut St Everett, WA 98201 <br />PROPERTY TAX #: <br />LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: Ryan Schutt TENANT BUSINESS NAME (Commercial): <br />OWNER MAILING ADDRESS: STREET 3616 Colby Ave #309 <br />clr, Everett STATE WA ZIP 98201 <br />OWNER PHONE: 425-387-3710 <br />OWNER EMAIL: milkmanxx@gmail.Com <br />CONTRACTOR NAME: N/A <br />CONTRACTOR ADDRESS: STREET <br />CITY STATE ZIP <br />CONTRACTOR PHONE: <br />CONTRACTOR EMAIL: <br />CONTRACTOR LICENSE #(REQUIRED): <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): <br />PRIMARY CONTACT: 0 OWNER ❑ CONTRACTOR 13 OTHER (Please Specify) <br />CONTACT NAME: <br />Ryan Schutt <br />CONTACT PHONE: 425-387-3710 <br />CONTACT EMAIL: milkmanxx@gmail.com <br />BUILDING INFORMATION <br />Existing Use of Building: Residential <br />Contract Price of Work: $1500 <br />Proposed Use of Building Residential <br />Heat Source: OGas <br />OElectric DOther <br />BUILDING USE: OSFR <br />I Aownhouse <br />I <br />Juplex <br />DU I ulti-Famil <br />a air <br />- # Units: <br />I lommercial <br />I <br />locessory Structure <br />Type of Project: <br />Lew <br />ddition <br />emodel `/ <br />I. <br />i n <br />rinkler <br />emolition <br />han a of Use <br />DESCRIPTION OF OR Repair existing front porch structure. <br />ASSOCIATED BUILDING PERMIT # if applicable): <br />MECHANICAL PERMIT <br />APPLICATION <br />PLUMBING PERMIT <br />APPLICATION <br />Fnrture <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 />Gas Piping <br />Backflow Preventer Inside Bldg) <br />Shower, Tub, or Combo <br />Boiler <br />Gas Range <br />Clothes Washer <br />Sink -Commercial (3-comp,prep,floor) <br />Gothes Dryer <br />Heat Pump&Ductless <br />Dishwasher <br />Sink -Residential (kitchen,bath,bar) <br />Duct System (Remodel) <br />Refrigeration <br />113rinking <br />Fountain <br />Sink -Utility, laundry, mop <br />Exhaust Fans Residential <br />Commercial Ventilatior <br />(Not HeaUAC system) <br />lFloor <br />Drain <br />Toilet <br />Exhaust Hood (rype 1) <br />lHose <br />Bibb <br />Urinal <br />Exhaust Hood(Type II) <br />Water Heater <br />Interceptor -Grease <br />Waste/Water Piping Repair <br />Exhaust Hood (Residential) <br />Wood Stove <br />Interceptor-Sand/Oil <br />Water Service (behind meter) <br />Forced Air Systems <br />Other: <br />Medical Gas <br />Water Valves or Fixtures <br />Gas Fireplace/Insert/Log <br />Roof Drains <br />Water Heater <br />SPRINKLER <br />/ SUPPRESSION <br />SYSTEM <br />Sewage Ejector or Sump Pump <br />Other: <br />Water Suppression System <br />I I <br />No. of Heads <br />Chemical Suppression System <br />I I <br />No. 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 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. 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 l comply with the State Contractors Law 18.27 RCW and 296.200A WA C. <br />City of Everett Official Use Only <br />PERMIT # <br />Ryan Schutt DIgWy.1pnBdbyRpn3thU 2' D <br />Y De : 202g.06.1270:10:36-071W (/ <br />Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br />