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OLT <br /> PERMIT APPLICATIO <br /> BUILDING TROIECHANICAL/ PLUIVICSIIVL� SIVIV /rf'RIIVhLER / DEIVI�LI 1 I"IV u v v <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: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#(REQUIRED): <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 /> / <br /> BUILDING INFORMATION <br /> fi r <br /> Existing Use of Building: Contract Price of Wprk: $35,o09 3'`\ <br /> V62 <br /> Proposed Use of Building:Detached Garage Heat Source: ❑Gas ❑Electric,/ ❑Other <br /> BUILDING USE: 0SFK ElI ownhouse L JUupiex ❑AUU LJIVlulti-Family-#Units: 1t� ❑Commercial R Accessory Structure <br /> Type of Project: ❑✓New ❑Addition ❑Remodel Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: construction of new detached garage (832 sf) on existing developed lot in area where there was <br /> previously a detached garage (already removed) <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> I MECHANICAL PERMIT APPLICATION I 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 Ventilatio Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Heed(Type I1) Water Heater interceptor-Grease iA/ust,llA/,fnr Dining 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 be 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 /> a mply wit the at cto s Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# -� <br /> / ati) ',0-i70.9 A010 0\ ‘i .. <br /> Owne A horized t nature Dtite (Revised 10/10/2018) <br /> l_z <br />