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• • <br /> MIN PERMIT APPLICATION <br /> lia <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 Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:2721 Wetmore Ave. PROPERTY TAX#:See attached <br /> LEGAL for new construction: Short Plat/subdivision See attached Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: North County Properties LLC TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 2707 Colby Ave#1200 <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 425-252-5400 OWNER EMAIL:Craig.skotdal@.skotdal.com <br /> CONTRACTOR NAME:Skotdal/Owner <br /> CONTRACTOR ADDRESS: STREET 2707 Colby Ave#1200 <br /> CITY Everett STATE WA ZIP 98201 <br /> CONTRACTOR PHONE:425-252-5400 CONTRACTOR EMAIL:art@skotdal.com <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑OWNER it CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-252-5400 <br /> Art Skotdal, Craig Skotdal, or Craig Sanderson CONTACT EMAIL:art@skotdal.com <br /> BUILDING INFORMATION <br /> ExistingUse of Building:Parking Lot Contract Price of Work:$l •©� <br /> 9 I <br /> Proposed Use of Building:Residential Heat Source: OGas DElectric ❑Other <br /> BUILDING USE ❑SFR ❑Townhouse ❑Duplex ❑ADU ✓❑Multi-Family-#Units:77 ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑✓New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Install a tow r crane foundation to use for constructing . ew residential b ilding in the proposed site. <br /> ice-ti-lt-c. •,-,. ) -cl riii• c c__;--'; ' L__. --' C(-II e - <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING 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 /> NC—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 Ventilation] 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 /> SPRINK�ER/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,st te,and local w. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Officia fore being a thorized 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 l comply h the Sierra C ntractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> _1.13I / <br /> PE # <br /> \,,,, ......, tyL) <br /> O nw e L <br /> d A en Signature D to (Revised 10/10/2018) <br /> I <br />