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11111 PERMIT APPLICATION• <br /> BUILDING /MECHANICAL/PLUMBING /SIGN /SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (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: 1507 GRAND AVE PROPERTY TAX#: 004753-306-003-00 <br /> LEGAL for new construction: Short Plat/subdivision HILTONS 1ST ADD TO EVERETT Lot No. 3-5 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: JESSE & BRENNA WEEWIE TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 1507 GRAND AVE <br /> ciry EVERETT STATE WA zip 98201 <br /> OWNER PHONE: 425-322-4903 OWNER EMAIL: bren010384@gmail.com <br /> CONTRACTOR NAME: ARMATA CONSTRUCTION SERVICES, LLC <br /> CONTRACTOR ADDRESS: STREET 2825 EASTLAKE AVE E <br /> CITY SEATTLE STATE WA zip 981 <br /> CONTRACTOR PHONE: 206-466-5962 CONTRACTOR EMAIL: r v <br /> CONTRACTOR LICENSE#(REQUIRED): ARMATCS845KU CITY OF EVERETT BUSINESS LICENSE#(REQUIRE i • ' A - <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR p OTHER(Please Specify) STRUCTURAL ENGINEER <br /> CONTACT NAME: CONTACT PHONE: 425-318-6049 <br /> JEFF GILLILAND, SE CONTACT EMAIL: JEFF@GKSTRUCTURAL.COM <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building:SFR Contract Price of Work:$ 105,000 <br /> Proposed Use of Building: NO CHANGE Heat Source: OGas {Electric ❑Other <br /> Building Type: OSFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: OCommercial ['Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel QlRepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> interior non-struct fire damage repairs-new drywall &insul, retrofit new headers, install new handicap ceil mount rail system <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn __Alteration .. Repair Type of Project: _New _Addn _Alteration Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump ,rj Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater 'Z Bathtub Urinal <br /> Gas Piping Boiler 3 Lavatory(Wash Basin) Drinking Fountain <br /> i Water Heater Refrigeration ( Shower Floor Drain <br /> Gas Fireplace Wood Stove ( Kitchen Sink&Disposal Grease Trap <br /> 1 Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: 46 Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> G Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Chemical or Water I INo.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.lam the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, <br /> and comply with the Stat.Contractors Law 18.27 RCW and 296.200A WAC. <br /> I City of Everett Official Use Only <br /> , / PERMIT#/� �Ol <br /> 0. gen ignature Date (Revised 9/23/2016) <br /> et <br /> ` /2_ <br />