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MIMI PERMIT APPLICATION• <br /> LIIIII <br /> BUILDING i ECHANICAL / PLUMBING / SIGN /SPRINKLER/ DEMOLITION <br /> E V E R E T T 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 Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 6522 WETMORE AVE PROPERTY TAX#:00531600003000 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Maverick Consulting LIc TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET P.O. Box 1154 <br /> CITY Everett STATE Wa a ZIP 98206 <br /> OWNER PHONE: 425-275-6937 OWNER EMAIL: info@maverickhldgs.com <br /> CONTRACTOR NAME: OWNER <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-275-6937 <br /> ICHRISTOPER HOAGLAND CONTACT EMAIL: info@maverickhldgs.com <br /> BUILDING INFORMATION <br /> � a — <br /> Existing Use of Building: SFR Contract Price of Work:$ C .� — <br /> Proposed Use of Building: SFR Heat Source: OGas [Electric ❑Other <br /> BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New E Addition ❑✓Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: TWO STORY S.F.R. WITH UNFINISHED BASEMENT,ADD 633 SQ. FT. OF ATTACHED GARAGE AT <br /> MAIN LEVEL,ADD 587.14 SQ. FT. OF LIVING SPACE AT UPPER LEVEL, INTERIOR REMODEL AND UPGRADE ALL <br /> EXTERIOR GLASS. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): 11 -k---C <br /> MECHANICAL PERMIT APPLICATION PLUMB NG PERMIT APPLICATION <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) 2 Shower,Tub,or Combo <br /> Boiler _Gas Range 1 Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> 1 Clothes Dryer Heat Pump&Ductless 1 Dishwasher 5 Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> 5 Exhaust Fans(Residential) Commercial Ventilation Floor Drain 3 Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) 2 Hose Bibb Urinal <br /> Exhaust Hood(Type II) 1 Water Heater —Interceptor-Sand/Oil <br /> Waste/Water Piping Repair <br /> 1 Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> 1 Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> 1 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(e'deral,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 I comply with the State Contractors aw 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> P RiVI } <br /> �• 6 �� /L/rAdZ�2/�it� 4,t,r Li[-i7/ /r-'J�o�G�:O 1 (r) 2__ 0Z 1 <br /> Ow er/Aut orized Agent S n ure C7c7 Date (Revised 10/10/2018) <br />