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MN <br /> • PERMIT APPLICNION <br /> MIN <br /> BUILDING / MECHANICAL I PLUMBING / SIGN / SPRINKLER / DEMOLITION <br /> EV E R E T CITY OF EVERETT PERMIT SERVICES <br /> V �( 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) ROJECT SITE INFORMATION _ <br /> PROJECT SITE ADDRESS:22XX 124th Street SAK Cf..) PROPERTY TAX#:28052900204100 <br /> LEGAL for new construction: Short Plat/subdivision See attached survey document Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> _ <br /> OWNER NAME: Brian and Candice Aikins TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 3523 Federal Avenue <br /> cii-- Everett STATE WA lip 98201 <br /> OWNER PHONE: (425)252-4148 OWNER EMAIL:bczm@comcast.net <br /> CONTRACTOR NAME:Armstrong Homes <br /> CONTRACTOR ADDRESS: STREET 2 709 Auburn Way N <br /> CITY Auburn STATE WA zip 98002 <br /> CONTRACTOR PHONE:253-833-3355 CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): N-2-M S( 4El-1,ci C I,---jj CITY OF EVERETT EUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR 0 OTHER(Please Specify) Architect <br /> CONTACT NAME: CONTACT PHONE:425 348-3975 <br /> Fred Baxter, A.I.A. CONTACT EMAIL:fred@baxterarchitects.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:vacant lot Contract Price of Work: $$450,000 <br /> Proposed Use of Building:SFR Heat Source: OGas DElectric EiOther Heat Pump <br /> BUILDING USE: EJSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-# Units: ❑Commercial ❑Accessory Structure <br /> T pe of Project: ❑✓New LAddition LiRemodel ❑Repair [-1T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: New 1,980 sf. 1.5 story home with a 1,088 s.f. garage shop attached via a 194 covered breezeway built <br /> on a 26,136 s.f. lot with vehicular access via an existing gravel driveway from 124th Street SE. I new paved driveway apron will <br /> be installed. Utilities will be extended to the lot from 124th in an existing easement. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> List of Fixtures List of Fixtures - List of Fixtures List of Fixtures <br /> Count Count 'Count Count <br /> 1 A/C—Air Handling Units 1 Gas Piping 1 Back Preventer(Inside Bldg) 2 Shower,Tub,or Corfibo <br /> Boiler 1 Gas Range,:-7 1 Clothes her Sink-Commercial(3-comp,prep,floor) <br /> 1 " •thes Dryer Heat Pump&Ductless 1 Dishwasher 1 Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain 1 Sink Utility, laundry,mop <br /> Exhaust Fafle Residential) Commercial Ventilatior 1 Floor Drain ,2 Toilet <br /> Exhaust Hood( e I) ` (Not Heat/AC system) 2 Hose Bibb Urinal <br /> Exhaust Hood(Type11�� 1 Water Heater Interceptor-Grease �`\�,Waste/Water Piping Repair <br /> 1 Exhaust Hood(Residential) \ Wood Stove Interceptor-Sand/Oil iv- 1 er Service(behind meter) <br /> Forced Air Systems er: Medical Gas Waterer Ives or Fixtures <br /> 1 Gas Fireplace/lnsertiLog Roof Drai 1 Water He <br /> S'RINKLER/ SUPPRESSION S EM 1 Se ye 7=jector or Sump Pump Other. <br /> Water:uppression System No.of Heads !�' <br /> Chemical Suppression System � {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!comply with t .State Contractors i Law 18.27 RCW and 296.200A WAC. — <br /> / City of Everett Official Use Only <br /> `L PERM( ^ '1.-- <br /> 11?I <br /> Owne/Aut orize 4 t . nature Dat (Revised 10/10/2018) <br />