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PERMIT APPLICATIOI. <br /> BUILDINGOECHANICAL/PLUMBING/SIGN I'SPRINKLER/DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.govI www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:7310 2ND DR SE PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: DAVID KINYANJUI TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: sTREET7310 2ND DR SE <br /> CITY EVERETT STATE WA ZIP 98203 <br /> OWNER PHONE:206-458-1315 OWNER EMAIL:DTKINYAN@GMAILCOM <br /> CONTRACTOR NAME: <br /> CONTRACTOR ADDRESS: STREET <br /> 7,,7j ' 7 <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR CI OTHER(Please Specify) DESIGNER <br /> CONTACT NAME: CONTACT PHONE:206-548-6798 <br /> GEORGE NGANGA CONTACT EMAIL:KITAN76@YAHOO.COMII \O <br /> BUILDING INFORMATION <br /> Existing Use of Building:SINGLE FAMILY HOME Contract Price of W :$ LOO <br /> Proposed Use of Building; SAME Heat Source: ElGas Electric I]Oth <br /> BUILDING USE: ESFR DTownhouse ODuplex ❑ADU -#Units:2 OCommercial DAccessory Structure <br /> Type of Project: [New DAddition ORemodel DRepair DT.i. OSign OSprinkler ODemolition DChange of Use <br /> DESCRIPTION OF WORK: CONVERT EXISTING GARAGE INTO(3)BEDROOMS,ADD A SHOWER, MOVE WASHER&DRYER <br /> INTO THE GARAGE '. . <br /> ASSOCIATED BUILDING PERMIT#(if applicable): J V l fir" I"'�c <br /> MECHANICAL PERMIT APPLICATION PLUMBING PIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixt es Count List of Fixtures Count List of Fixtures <br /> O A/C—Air Handling Units 0 Gas Pipin 0 Backflow Preventer(Inside Bldg) 1 Sho r,Tub,or Combo <br /> 0 Boiler 0 Gas R ge 1 Clothes Washe 0 k-Commercial(3-comp,prep,floor) <br /> 1 Clothes Dryef 0 He ump&Ductless 0 Dishwasher 0 Sink-Residential(kitchen,bath,bar) <br /> 0 Duct System(Remodel) 0 frigeration 0 Drinking Fountain Sink-Utility,laundry,mop <br /> 0 Exhaust Fans(Residential) Commercial Ventilatior 0 Floor Drain 0 Toilet. <br /> 0 Exhaust Hood(Type I) (Not Heat/AC system) 0 Hose Bibb Urinal <br /> 0 Exhaust Hood(Type II) ter Heater 0 Interceptor-Grease 1 e/Water Piping Repair <br /> O Exhaust Hood(Residential) 0 W tove 0 Interceptor-Sand/Oil 0 Water Se ' behind meter) <br /> 0 Forced Air Systems 0 Other: 0 Medical Gas 0 Water Valves or Fixtures <br /> 0 Gas Fireplace/Insert/Lo 0 Roof Drains 0 Water Heater <br /> SPRINKLER I S PRESSION SYSTEM 0 Sewage ctor or Sump Pump Other. <br /> Water Suppression System 10 No.of Heads <br /> Chemical Suppression System 0 No.of Heads <br /> ACKNOWLEDGEMENT:l 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.tam the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAG. <br /> City of Everett Official Use Only <br /> PERMIT <br /> 2c0 - cCo <br /> Owner/Authorized Agent Signature Date (Revised 10/1 2018) ' <br /> /{2_ <br />