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7331 OLYMPIC DR 2023-06-22
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7331 OLYMPIC DR 2023-06-22
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Last modified
6/22/2023 2:43:13 PM
Creation date
6/22/2023 2:43:01 PM
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Address Document
Street Name
OLYMPIC DR
Street Number
7331
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MEM PERMIT APPLICATION • <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:7331 OLYMPIC DR SE EVERETT, WA 98203 PROPERTY TAX#:00394000004900 <br /> LEGAL for new construction: Short Plat/subdivision BEV PK 1ST ADD Lot No.49 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: 2019 WY 39 LLC TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 1 O4 104TH ST SE <br /> c,-rr EVERETT STATE WA zIP 98208 <br /> OWNER PHONE:425-319-0109 OWNER EMAIL:SUKHMEETBIRK©GMAIL.COM <br /> CONTRACTOR NAME:2019 WY 39 LLC <br /> CONTRACTOR ADDRESS: STREET 104 104TH ST SE <br /> c,T EVERETT STATE WA Zip 98208 <br /> CONTRACTOR PHONE: 425-319-010 • CONTRACTOR EMAIL: SUKHMEETBIRK@GMAIL.COM <br /> rYi <br /> CONTRACTOkLICiNSE#(REQUIRED)" a OF E ater7 BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: El OWNER 0 CONTRACTOR 0 OTHER(Please Specify) Architect <br /> CONTACT NAME: CONTACT PHONE: 425-772-3167 425-773-4356 <br /> Dean/Alex Dariotis CONTACT EMAIL: dariotis2@gmail.com <br /> BUILDING INFORMATION <br /> Existing Use of Building: Sfr Contract Price of Wor')C:$ 20,000.00 <br /> Proposed Use of Building: Sfr Heat Source: OGas DElectric ❑Other <br /> BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: _ ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑✓Remodel ❑Repair ❑T.l. ❑Sign ['Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Move a couple of interior walls. Add a bathroom. Drywall repairs as needed. Insulation as needed. <br /> Re-roof. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): ti—Les0A-A—.\�v <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATI N <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) 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 /> 2_ Exhaust Fans(Residential) Commercial Ventilation Floor Drain i) 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.1 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 Law 18.27 ROW and 296.200A WAC. <br /> City of Everett� t Official Use Only <br /> //9 �i a PERMIT#;�� 'l ��/ G ( -/�W/W � rL/® <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br /> '`ex c r 0 I/ <br />
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