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MINI <br /> II PERMIT APPLICATION• <br /> lial <br /> BUILDING / MECHANICAL/ PLUMBING/SIGN / SPRINKLER/ 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:932 E Marine View Dr PROPERTY TAX#:00438718901800 <br /> LEGAL for new construction: Short Plat/subdivision 189 D-00 Lot No.18i19 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Brandon W Riddell TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET932 E Marine View Dr <br /> c,TY Everett STATE Wa ZIP 98201 <br /> OWNER PHONE:425-397-1858 OWNER EMAIL:riddellbrandon1986(©gmail.COm <br /> CONTRACTOR NAME:Owner <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: El OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: <br /> CONTACT EMAIL: <br /> BUILDING INFORMATION <br /> Existing Use of Building:Garage Contract Price of Work: $ <br /> Proposed Use of Building:ACCeSSOry Structure/Re` Rot" Heat Source: ❑Gas ❑Electric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑✓Accessory Structure _ <br /> Type of Project: ❑New ❑Addition ❑✓Remodei ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑✓Change of Use <br /> DESCRIPTION OF WORK: Insulate, install plumbing fixtures, Finish interior <br /> 1 <br /> 1 <br /> ASSOCIATED BUILDING PERMIT#(if applicable): 4 <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 2 Gas Piping Backflow Preventer(Inside Bldg) 1 Shower,Tub,or Combo <br /> Boiler Gas Range 1 Clothes Washer Sink-Commercial(3-comp,prep,floor; <br /> 1 Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,barl_ <br /> Duct System(Remodel) Refrigeration Drinking Fountain 2 Sink-Utility,laundry,mop <br /> s Exhaust Fans(Residential) Commercial Ventilatior Floor Drain 1 Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) i 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 /> I Gas Fireplace/Insert/Log Roof Drains � Water Heater <br /> SPRINKLER 1 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 /> PERMIT# <br /> 5.1„.—j"-'_,-------r i 0/I/( C/ /..--, <br /> Offer/Auth rO ized Agent Signature Date (Revised 10/10/2018) <br /> yz <br />