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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 /> 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:10708 Holly Dr PROPERTY TAX#:00552300301701 <br /> LEGAL for new construction: Short Plat/subdivision__ Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Aaron Davis TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 10708 Holly Dr <br /> ciry Everett STATE WA zip 98204 <br /> OWNER PHONE: (7----� OWNER EMAIL:aaronaandrew@gmail.com <br /> CONTRACTOR NA E:TBD <br /> CONTRACTOR AD l RESS: / 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 ❑CONTRACTOR 0 OTHER(Please Specify) Architect <br /> CONTACT NAME: CONTACT PHONE:425-242-0369 <br /> J3 Architects- Neil Jorgensen CONTACT EMAIL:neil@j3-Ilc.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Shop Contract Price of Work: $5,000 <br /> Proposed Use of Building:Residential/Shop Heat Source: ❑Gas DElectric DOther <br /> BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑✓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: Interior remodel. Convert upper floor of an existing shop to an ADU. <br /> 0,01q, IPCIiG (mot101024 <br /> ASSOCIATED BUILDING PERMIT#(if applicable): 61^- 0-4 In I1020 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture , <br /> List of Fixtures List of Fixtures List of Fixtures List of Fixtures <br /> Count Count Count Count ,' <br /> A/C—Air Handling Units Gas Pipt‘ Back reventer(Inside Bldg) 1 Showev=Tub,or Combo <br /> Boiler 1 GayRange 1 Clothes Waste. Sink-Commercial(3-comp,prep,floor) <br /> 1othes Dryer .Meat Pump&Ductless 1 Dishwasher 2 ,'Sink-Residential(kitchen,bath,bar) <br /> r_D System(Remodel) 1 f/'�Refrigeration_ Drinking Fountain �'(_ Sink-Utility, laundry,mop <br /> Exhau Fans(Residential) / Commercial Ventilation Floor Drain 1 Toilet <br /> Exhaust Fd(Type I) / (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hooype II) 1 Water Heater Interceptor-Grease ''',/aste/Water Piping Repair <br /> 1 Exhaust Hood(R den I) Wood Stove Interceptor-Sand/Oil WatKService(behind meter) <br /> Forced Air Systems Other: Medical Gas /% Water V' s or Fixtures <br /> Gas Fireplace/Inslt/Log . Roof Drains f 1 Water Heater <br /> N SPRINKLE /SUPPRES ON SYSTEM` Sewage E. /tor or Sump Pump Other: <br /> Water Suppression S em No.of Heads <br /> Chemical Suppres ' n System 'No.of Heads <br /> ACKNOWLEDG ENT: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 /> iltt iiq <br /> PERMIT# <br /> 12.08.20. '24 0 1 — 19 id <br /> Owner/Authorized gent Signature Date (Revised 10/10/2018) <br /> \ r2— <br />