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• PERMIT APPLICATION • <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/ DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHI NGTON (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:318 SE EVERETT MALL WAY SUITE 101 EVERETT WA 98208 PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: 3H LLC TENANT BUSINESS NAME(Commercial): ALEX MONTOYA <br /> OWNER MAILING ADDRESS: sTREET7515 SE 71ST ST <br /> cry MERCER ISLAND STATE WA ZIP 98040 <br /> OWNER PHONE:2063269753 OWNER EMAIL:KSHSUE@ICLOUD.COM <br /> CONTRACTOR NAME: <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER O CONTRACTOR 0 OTHER(Please Specify)ALEX MONTOYA <br /> CONTACT NAME: CONTACT PHONE:4253196238 <br /> ALEX MONTOYA CONTACT EMAIL:RESTECHUSA@GMAIL.COM <br /> BUILDING INFORMATION <br /> Existing Use of Building:OFFICE Contract Price of Work:$2500 <br /> Proposed Use of Building:AUTOMOTIVE SHOP Heat Source: OGas OElectric OOther <br /> BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.i. ❑Sign OSprinkler I21Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: I am needing to remove a few walls and will need to put support beams in place to sustain the weight of <br /> the secod story. It will be a demolition only project, no rebuilding will be needed. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING,PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Coup 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/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System I INo.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 lam authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contrac Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> A, PERMIT# <br /> 12)2 <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br />