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PERMIT APPLICATION ilk <br /> BUILDING I.CHANICAL t PLUMBING /SIGN / iNKLER/ DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 FAX 425-257-8857 I(E)everetteps@everettwa.gov l www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:908 Grand Avenue Everett, WA PROPERTY TAX#:29051800101800 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Kelli Trosvig/Ivan Eastin TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: sTREET908 Grand Avenue <br /> ciTr Everett STATE WA ZIP 98201 <br /> OWNER PHONE:425-210-01 14 OWNER EMAIL:ktrOSvig Q@gnlail.COM <br /> CONTRACTOR NAME:Kris VOL1 kex ••S k. r.i (crv� Ca vi`jk"t'u-ck-u3Y. <br /> CONTRACTOR ADDRESS: STREET 1 0111 271st Street 1 IW <br /> c,ry Stanwood STATE WA z,, 98292 <br /> CONTRACTOR PHONE:4255-330-0179 CONTRACTOR EMAIL: stirlco@whidbey.net <br /> CONTRACTOR LICENSE#(REQUIRED):STRILC1 O7ONS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 047160 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-330-0179 <br /> Kris V did acerC CONTACT EMAIL:stirlco@whidbey.net <br /> BUILDING INFORMATION <br /> Existing Use of Building:Private Residentc Contract Price of Work: $ SoI C)(A)C) <br /> Proposed Use of Building:Private Residence Heat Source: EiGas ❑Electric DOther <br /> BUILDING USE: EISFR ['Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ['Commercial ['Accessory Structure <br /> Type of Project: ['New DAddition ['Remodel ❑Repair ❑T.I. ❑Sign ['Sprinkler ['Demolition ['Change of Use <br /> DESCRIPTION OF WORK: Replace picture window with french doors.Add two picture windows and modify another window.New <br /> fitting, Attaching a drawing of the relevant plans. <br /> itiptaiVit e(,ed- r'ot i- wl b ntcasit•N • <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 ist of Fixtures <br /> A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Show ,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Si -Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pu &Ductless Dishwasher Ink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrig ation Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Co ercial Ventilation Floor Drain Toilet <br /> Exhaust Hood(Type I) of Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) ater Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wo Stave 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 ater Heater <br /> SPRINKLER I SUPP ESSiON SYSTEM Sewage Ejector or ump 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 connect.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.lam 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 /> 6//j240ZOPERMtT (0' ©20 <br /> Owner/Afgent ignatturre (Revised 10/10/2018) <br /> iCeltr /T/.0 ssj /2_ <br />