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® ! PERMIT APPLICATA, <br /> 12 <br /> BUILDING / MECHANICAL I PLUMBING /SIGN I SPRINKLER/DEMOLITION <br /> E V E R E,T T CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I wvwv.everettwa.gov/permits <br /> (Blue or Black Ink Only Pleease) PROJECT SITE INFORMATION <br /> ` <br /> PROJECT SiTE ADDRESS: 124th Street,SW C� PROPERTY TAX#:2805290021)4100 <br /> LEGAL for new construction: Short Plat/subdivision See attached survey document Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Brian and Candice Aikins TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET3523 Federal Avenue . <br /> mry Everett STATE WA ZIP 98201 <br /> OWNER PHONE: (425)252-4148 OWNER EMAIL:bczm@comcast.net <br /> CONTRACTOR NAME:Armstrong Homes <br /> CONTRACTOR ADDRESS: STREET2709 Auburn Way N <br /> CITY Auburn STATE WA zip 98002 <br /> CONTRACTOR PHONE:253-833-3355 CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): Pk t4 S j j-41L-1,c1() 1‘.-O CITY OF EVERETT BUSINESS LICENSE#(REQUIRRED): <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR El OTHER(Please Specify) Architect <br /> CONTACT NAME: CONTACT PHONE:425 348-3975 <br /> Fred Baxter, A.I.A. CONTACT EMAIL:fired@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: ❑Gas DElectric illOther Heat Pump <br /> BUILDING USE: CDSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑✓New ❑Addition ❑Remodel ❑Repair ❑T.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, +es-w.i I be extended to the lot from 124th in an existing easement. <br /> ASS I D BUILDING P MIT#(if applicable): <br /> MECHANICAL ERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> re Fixture Fixtur Fixture <br /> Count count count List of Fixtures Count List of Fixtures Count • of Fixtures <br /> 1 A/C—Air Handling Units 1 Gas Piping 1 Backflow ter(Inside Bldg) 2 Show ,Tub,or Combo <br /> Boiler 1 Gas Range 1 Clothes Washer � Sirf(--Commercial(3-comp,prep,floor) <br /> 1 Clothes Dryer Heat Pump&Ductless 1 Dishwasher ,' Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain " Sink-Utility, laundry,mop <br /> 5 Exhaust Fans(Residential) Commercial Ventilatior 1 Floor Drain 2�, Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) 2 Hose Bibb �' `Ulnae <br /> Exhaust Hood(Type II) 1 Water Heater Interceptor-Grease Waste/I�i ater,piping Repair <br /> 1 Exhaust Hood(Residential) Wood Stove Interceptor-S /Oil 1 Water Service(behiuq meter) <br /> Forced Air Systems Other: Medical s Water Valves or Fixtures-------,„_ <br /> 1 Gas Fireplace/Insert/Log Roof Dr s 1 Water Heater --...,..4 <br /> SPRINKLER/SUPPRESSION SYSTEM 1 Sewage Ejector or Sump Pump Other: <br /> Water Suppression 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 i comply with t ,State Contractors Law 18.27 RCW and 296,200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT <br /> �t..:rl..1� <br /> L i Li �: <br /> Owne A,' orize t ' nature Dat (Revised 10/10/2018) <br />