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• PERMIT APPLICATION <br />L <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 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br />Black Ink Onl Please PROJECT SITE INFORMATION <br />SITE ADDRESS: 1501 GRAND AVE <br />E <br />PROPERTY TAX #: 004753-306-001-00 <br />LEGAL for new construction: Short Plat/subdivision HILTONS 1 ST ADD TO EVERETT Lot No. 1-2 (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: DIANE LOOP TENANT NAME (If Commercial): <br />OWNER MAILING ADDRESS: STREET 1501 GRAND AVE <br />ciw EVERETT STATE WA zip 98201 <br />OWNER PHONE: 4Z L- S Z— 6(Z$ <br />1OWNER EMAIL: <br />CONTRACTOR NAME: ARMATA CONSTRUCTION SERVICES, LLC <br />CONTRACTOR ADDRESS: STREET 2825 EASTLAKE AVE E, STE 130 <br />CITY SEATTLE STATE WA ZIP 98102 <br />CONTRACTOR PHONE: 206-466-5962 <br />1 CONTRACTOR EMAIL: <br />CONTRACTOR LICENSE #(REQUIRED): ARMATCS845KU <br />CITY OF EVERETT BUSINESS LICENSE #(REQUI : -CALL- <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR OTHER (Please Specify) STRUCTURAL ENGINEER <br />CONTACT NAME: <br />JEFF GILLILAND, SE <br />CONTACT PHONE: 425-318-6049 <br />CONTACT EMAIL: JEFF GK URAL.COM <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building: N/A <br />lContract Price of Wor . $ 60,000 <br />Proposed Use of Building: <br />Heat Source: []Gas 0Electr' []Other <br />Building Type: WSFR-Detached DSFR-Attached []Duplex []Multi -Family-# of Units: ❑Commercial ❑Industrial <br />Type of Project: ONew ❑Addition ❑Remodel DRe air ❑T.I. []Sign DS rinkler ❑Demolition ❑Chan a of Use <br />DESCRIPTION OF WORK: <br />demo ex. det. garage destroyed by vehicle strike, replace w/ new attached ADU <br />ASSOCIATED BUILDING PERMIT # if applicable): <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: ,,/Now _ Addn _Alteration _Repair <br />Type of Project: New _Addn _Alteration _Repair <br /># of <br />Fixtures <br />List of Fixtures <br /># of <br />Fixtures <br />Ust of Fixtures <br /># of <br />Fixtures <br />List of Fixtures <br /># of <br />Fixtures <br />List of Fixtures <br />A/C — Air Handlin Units <br />Heat Pump <br />( <br />Toilet <br />Backflow Preventer Inside Bldg) <br />Forced Air Systems <br />Unit Heater <br />Bathtub <br />Urinal <br />Gas Piping <br />Boiler <br />Lavato ash Basin <br />Drinking Fountain <br />Water Heater <br />Refrigeration <br />I <br />IShower <br />I Floor Drain <br />Gas Fireplace <br />Wood Stove <br />Kitchen Sink & Disposal <br />Grease Trap <br />Gas Range <br />Ducting <br />Dishwasher <br />Roof Drains <br />Clothes Dryer Hookups <br />Other: <br />Clothes Washer <br />Medical Gas <br />Range Hood <br />Water Heater <br />Other: <br />Exhaust Fan <br />Isink (Service/Bar/Mop/etc. <br />Other: <br />SPRINKLER <br />/ SUPPRESSION <br />SYSTEM <br />Chemical or water <br />I <br />I 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. I am the owner, or 1 am authorized by the owner of this property to perform the work for which application is made, <br />and I complv&th the State Contracto s Law 18.27 RCW and 296.200A WAC. <br />City of Everett Official Use Only <br />PERM !2 4 <br />_ O <br />7/2/20 <br />Date (Revised 912312016) f ) <br />