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410 PERMIT APPLICATIO <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 FAX425-257-8857 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: STREET2707 Colby Ave #1200 <br /> cm, 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: STREET2707 Colby Ave #1200 <br /> CITY Everett STATE WA ZIP 98201 <br /> CONTRACTOR PHONE:425-252-5400 CONTRACTOR EMAIL:art@skotdal.corrl <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER El 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 /> Existing Use of Building:Parking Lot Contract Price of Work: $ <br /> Proposed Use of Building:Residential - Concrete Structure Only Heat Source: OGas ❑Electric ❑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: Construct concrete levels for a new 77 unit residential building <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count Count 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 /> 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 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 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> �+ 1g PERMIT# <br /> 4.0•1•4.?.P1 lost Cr A/044 Coval7 Ave,•441 tt (9 <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) ) \ <br /> J \" <br />