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• • <br /> INN <br /> 112 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 Meek Ink Only Please);` PROJECT SITE,,INFORMATION <br /> PROJECT SITE ADDRESS: 3328 Oakes Avenue PROPERTY TAX#: 00439079301900 <br /> LEGAL for new construction: Short Plat/subdivision Block 793 Lot No.1 9 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Rosemarie Dickson Cook TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET F.O. Box 894 <br /> cry Snohomish STATE WA zip 98291-0894 <br /> OWNER PHONE:425- 252- 8405 /425- 315- 4793 OWNER EMAIL:rdicksoncook@frontier.com <br /> CONTRACTOR NAME: Oxford Construction Group, Inc., Jeana Oxford, Member, UBI # 604 383 692 <br /> CONTRACTOR ADDRESS: STREET P.O. Box 1212 <br /> ary Carnatiion STATE WA zip 98014 <br /> CONTRACTOR PHONE:425- 444- 3791 CONTRACTOR EMAIL: matheWoxford©live.com <br /> CONTRACTOR LICENSE#(REQUIRED): OOORCG806NG CITY OF EVERETT BUSINESS UCENSE#(REQUIRED): <br /> PRIMARY CONTACT: II OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425- 315- 4793 cell <br /> Rosemarie Dickson Cook CONTACT EMAIL: rdicksoncook@frontier.com <br /> BUILDING INFORMATION • <br /> Existing Use of Building: Owner's home Contract Price of Work:$28 260+tax =$31 029.48 <br /> Proposed Use of Building: Return to duplex after approx. 10 years Heat Source: OGas DElectric ❑Other <br /> BUILDING USE: ❑SFR ETownhouse I(Duplex ❑ADU ❑Multi-Family-#Units: 2 ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New EAddition ERemodel I:Repair ❑T,I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: American Abatement removed found asbestos skirting, summer 2017, per requirment of Robbins& Co., <br /> which then backed out,though Cash Carr, P.E. had drawn up their plans to reinforce 2nd story cantilever and entry deck(built by <br /> Century21 RealtyProfessionals contractor'98. Plans redrawn by Carr, per Geotech Engineer Robert Pride,for new builder, above <br /> ASSOCIATED BUILDING PERMIT#(if applicable): N/A <br /> MECHANICAL PERM IT.APPLICATION ! PLUMBING PERMIT APPLICATION <br /> Fixture rune,* 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 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 Ejec'or or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System No.of Heads <br /> ACKNOWLEDGEMENT:1 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 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERM( <br /> � �• � ~` 2L DL' 61/4-711 February 23,2021 <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br /> iI <br />