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lila BUILDING •CHANICAL / PLUMBING / SIGN IORINKLER/ DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICE <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps©everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 415 100th Street SW PROPERTY TAX#: 28041300307000 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Blonde Fox LLC TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 180 E Marine View Dr <br /> CITY Orondo STATE WA ZIP 98843 <br /> OWNER PHONE: 425-308-3262 OWNER EMAIL: bluecolarplmb@comcast.net <br /> CONTRACTOR NAME: EM Property Maintenance Services LLC <br /> CONTRACTOR ADDRESS: STREET 506 Avenue J <br /> CITY Snohomish STATE WA ZIP 98290_ -- <br /> CONTRACTOR PHONE: 425-286-5360 CONTRACTOR EMAIL: dale@empmservices.com / <br /> CONTRACTOR LICENSE#(REQUIRED): EMPROPM821 Q1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED) CV <br /> PRIMARY CONTACT: ❑OWNER El CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-286-5360 <br /> Dale VanArsdall CONTACT EMAIL: dale@empmservices.com <br /> BUILDING INFORMATION <br /> Existing Use of Building: /1 u j-J; [G a'rr—" (/ Contract Price of Work: $ 9500.00 <br /> Proposed Use of Building:Plv j 4 . /-c+-rv‘..i /7/ Heat Source: ❑Gas DElectric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex / ❑ADU ❑✓Multi-Family-#Units: 8 ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑✓Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Remove and replace header above deck slider door. Remove and replace deck joists so that deck <br /> slopes and drains water to outside perimeter rather than draining towards slider. Rebuild deck like for like. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count -C st of Fixtures <br /> A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet <br /> Exhaust Hood(Type I) // (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER/ SUPPRESSION SYSTEM - Sewage Ejector or Sump Pump Other: <br /> Water Suppression,System No.of Heads <br /> Chemical Suppression System No.of Heads <br /> ACKNOWLEDGEMENT:1 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC, <br /> / City�of Everett Official Use Only <br /> y� l 7-7 j PER <br /> ( Vkci K .c,,, <br /> _ . <br /> Y-J.... <br />