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PERMIT APPLICATION <br /> BUILDINGISECHANICAL I PLUMBING 1 SIGN IVPRINKLER I 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 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:7423 2nd Dr. SE PROPERTY TAX#:00392000001711 <br /> LEGAL for new construction: Short Plat/subdivision Beverly Average Tracts Lot No.7 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Manuel Martinez TENANT BUSINESS NAME(Commercial): N/A <br /> OWNER MAILING ADDRESS: sTREFr7423 2nd Dr. SE <br /> c,T, Everett STATE WA Zip 98203 <br /> OWNER PHONE: N/A OWNER EMAIL:N/A <br /> CONTRACTOR NAME:CBSCades Cleanup & Restoration <br /> CONTRACTOR ADDRESS: sTREETPO Box 262 <br /> c, . Marysville STATE WA vP 98270 <br /> CONTRACTOR PHONE:360-691-9291 CONTRACTOR EMAIL:abe 1 cascadescleanup.com <br /> CONTRACTOR LICENSE#(REQUIRED):CCRINI*860NJ CITY OF EVERETT BUSINESS UCENSE#(REQUIRED):3 7 7 a0.j <br /> PRIMARY CONTACT: D OWNER 0 CONTRACTOR El OTHER(Please Specify) Tmka Engineers Co, <br /> CONTACT NAME: CONTACT PHONE:206-999-6475 <br /> Thomas Pruitt/TEC Proj. Mgr. CONTACT EMAIL:tpruitt@trnkaengineers.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Single Family Residence Contract Price of Work:$45080 <br /> proposed Use of Building:Single Family Residence Heat Source: ElGas DElectric ©Other <br /> 3UILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial CAccessory Structure <br /> Type of Project ONew ❑Addition LiRemodel ✓1Repair On. CSign ❑Sprinkler !Demolition ❑Change of Use <br /> )ESCRIPTiON.OF WORK: Repair damage to roof structure casued by fire in attic. No structural damage to exterior walls. <br /> No change to exterior dimensions or any load bearing structure. <br /> 4SSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture <br /> Fix'tare List of Fixtures Fixture List of Fixtures List of Fixtures List of Fixtures <br /> Count Count Count Count <br /> N/A A/C-Air Handling Units N/A Gas Piping N/A Backflow Preventer(Inside Bldg) N/A Shower,Tub,or Combo <br /> N/A Boiler N/A Gas Range N/A Clothes Washer N/A Sink-Commercial(3-comp,prep,floor) <br /> N/A Clothes Dryer N/A Heat Pump&Ductless N/A Dishwasher N/A Sink-Residential(kitchen,bath,bar) <br /> N/A Duct System(Remodel) N/A Refrigeration N/A Drinking Fountain N/A Sink-Utility,laundry,mop <br /> N/A Exhaust Fans(Residential) N/A Commercial Ventilatior N/A Floor Drain N/A Toilet <br /> N/A Exhaust Hood(Type I) (Not Heat/AC system) N/A Hose Bibb N/A Urinal <br /> N/A Exhaust Hood(Type II) N/A Water Heater N/A interceptor-Grease N/A Waste/Water Piping Repair <br /> N/A Exhaust Hood(Residential) N/A Wood Stove N/A Interceptor-Sand/Oil N/A Water Service(behind meter) <br /> N/A Forced Air Systems N/A Other: N/A Medical Gas N/A Water Valves or Fixtures <br /> N/A Gas Fireplace/Insert/Log N/A Roof Drains N/A Water Heater <br /> SPRINKLER I SUPPRESSION SYSTEM N/A Sewage Elector or Sump Pump N/A Other: <br /> Hater Suppression System I N/A No.of Heads <br /> 3hemical Suppression System N/A 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 /> :urrent 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 /> 3uilding Official before being authorized under any circumstance.lam the owner,or tam authorized by the owner of this property to perform the work for which application is made, <br /> Ind I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> • <br /> An1,a;Q 6A611/14.,c �t -7-II, z pEf �` (�y�,���� I <br /> 1 tl <br /> )wnerlAuthorize' nt Signature Date (Revised 10/10/2018) <br />