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PERMIT APPLICATIO <br /> BUILDINOECHANICAL/ PLUMBING /SIGhMPRINKLER/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 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:2726 Lombard Ave., Everett.WA 98201 PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Jared Sisco TENANT BUSINESS NAME(Commercial): Flooring with Sisco <br /> OWNER MAILING ADDRESS: STREET2726 Lombard Ave. <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE:425-530-6145 OWNER EMAIL:floOringWlthSISCO gmail.com <br /> CONTRACTOR NAME:Michael Kinnunen "P < L� <br /> CONTRACTOR ADDRESS: STREET16502 4th Ave NE <br /> CITY Shoreline STATE WA ZIP 98155 <br /> CONTRACTOR PHONE:206-383-1429 CONTRACTOR EMAIL:mkinn2@comcaSt.net <br /> CONTRACTOR LICENSE#(REQUIRED):PHAS E 1 D9260J CITY OF EVERETT BUSINESS LICENSE#(REQUIR ): <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-383-1429 <br /> Michael Kinnunen CONTACT EMAIL:mkinn2@comcast.net <br /> BUILDING INFORMATION <br /> Existing Use of Building: Contract Price of Work:$1986.00 <br /> Proposed Use of Building: Heat Source: OGas ❑Electric DOther <br /> BUILDING USE: DSFR ❑Townhouse DDuplex ❑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: <br /> Manufacture& install (1) non-illuminated wall mount sign. <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 List 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 f SUPPRESSION SYSTEM 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 the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> 'MOD?)--CO <br /> Own Authorized Agent Signature Date (Revised 10/10/2018) ,,� <br />