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320 S CABOT RD 2023-01-26
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320 S CABOT RD 2023-01-26
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Last modified
1/26/2023 11:07:17 AM
Creation date
1/23/2023 1:31:08 PM
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Address Document
Street Name
S CABOT RD
Street Number
320
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d PERMIT APPLICAT10111 <br /> BUILDINt NiECHANiCIAL I PLUMBING I SIGN PRiNKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> sikillWij 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov j www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:320 S Cabot Road PROPERTY TAX#:003933-000-067-00 <br /> LEGAL for new construction: Short Plat/subdivision Beverly Hills Division 5 Lot No.67 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Marc Fogg TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 318 S. Cabot Rd <br /> CITY Everett STATE WA ZIP 98203 <br /> OWNER PHONE: 425.308.5619 OWNER EMAIL:fogg.marc@gmail.com <br /> CONTRACTOR NAME:LEXAR Homes <br /> CONTRACTOR ADDRESS: STREET 3721 116th Street NE, Ste 9 <br /> CITY Marysville STATE WA ZIP 98271 <br /> CONTRACTOR PHONE:360.657.1968 CONTRACTOR EMAIL:walkerconstructionbuilder@gmail.com <br /> CONTRACTOR LICENSE#(REQUIRED):LEXARH*850NC CITY OF EVERETT BUSINESS LICENSE#(REQUIRE <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑✓ OTHER(Please Specify) Smith Land Development Services <br /> CONTACT NAME: CONTACT PHONE:425.238.6324 <br /> Stacy Smith CONTACT EMAIL:stacy@stacysmith.net <br /> BUILDING INFORMATION <br /> Existing Use of Building: ` L- Contract Price of W•rk:$ <br /> Proposed Use of Building: Heat Source: ❑e s ❑Electri ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Qommercial i !Accessory Structure <br /> Type of Project: New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler i/Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: D pi l'4 o XJ Spa _ /0 Stepp (20 114 <br /> ,( `' <br /> /ie J - - <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION I <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 Gas Piping 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 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 HeatAC 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 I 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 /> Buildi fficial be being authorized under any circumstance.i am the owner,or/am authorized by the owner of this property to perform the work for which application is made, <br /> a mply witi)the a cto s Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT <br /> ,a/i) 0//).67 Owne A horized t ature D (Revised 10/ /2018 <br /> • ) 1l <br />
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