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OLT • PERMIT APPLICATION 6 <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:1302 Hoyt Ave PROPERTY TAX#:004385244003000 <br /> LEGAL for new construction: Short Plat/subdivision BLK 244 D 00 Lot No.3°.3132 <br /> (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: John and Jackie Snapp TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 1302 Hoyt Ave <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 425-503-0885 OWNER EMAIL:john@snapp.US <br /> CONTRACTOR NAME:Jon.Ulrich <br /> CONTRACTOR ADDRESS: STREET 8025 South Lake Ketchum Road <br /> city Stanwood STATE WA ZIP 98292 <br /> CONTRACTOR PHONE:425-327-1554 CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED):to be submitted CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):to be submitted <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) KLLA Landscape Architects Inc. <br /> CONTACT NAME: CONTACT PHONE:206-396-7617 <br /> Ken Large CONTACT EMAIL:klla@comcast.net <br /> BUILDING INFORMATION <br /> Existing Use of Building:Single Family Residence Contract Price of Work:$65 \ 2-4 \ICI V <br /> Proposed Use of Building:Single Family Residence Heat Source: OGas ❑Electric ❑Other <br /> BUILDING USE: OSFR ❑Townhouse ❑Duplex DADU ❑Multi-Family-#Units: OCommercial (]Accessory Structure <br /> Type of Project: ONew ❑Addition O✓Remodel ❑Repair DT.1. OSign OSprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: relocate basement access door, new covered patio,add approx. 36 sq to the existing garage, <br /> re-roof a portion of the gargae and garage framing, brick pavement,fencing,walls, landscape, irrigation, <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count of Fixtures Count List of Fixtures Count List of Fixtures <br /> NC—Air Handling Units i Gas Piping i 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 1 Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilatior 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 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.lam the owner,or lam authorized by the owner of this property to perform the work for which application is made, <br /> and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City offEvereett Official Use On ly <br /> �� <br /> �^ - ( V V ' 20fS PER ctat, —QeO <br /> Owner/A? ge Sat e V^" Date (Revised 10/10/2018) <br /> -- <br />