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MUM <br /> • PERMIT APPLICATIONS <br /> 1111111 <br /> BUILDING/MECHANICAL 1 PLUMBING/SIGN/SPRINKLER I DEMOLITION <br /> EVERETT <br /> V E RE T T CITY OF EVERETT PERMIT SERVICES <br /> �[ 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WAS}ttNGTON (P)425-257-8810 1 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:5117 Seaview Way, Everett WA 98203 PROPERTY TAX#:00567900300702 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Torrence & Cynthia Thomas TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: sTREET5117 Seaview Way <br /> my Everett STATE WA zip 98203 <br /> OWNER PHONE:425-420-5067 `/_'0 OWNER EMAIL:DBAD987@gmail.com <br /> CONTRACTOR NAME: Cab(` "! �X T[/Y OhS j V n cj <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: El OWNER 0 CONTRACTOR 0 OTHER(Please Specify) vv <br /> CONTACT NAME: CONTACT PHONE:425-420-5067 <br /> Terry Thomas CONTACT EMAIL:dbad987@gmail.com <br /> BUILDING INFORMATION t� rr� �aa <br /> Existing Use of Building: Contract Price of Work:$ V 0 bt) 09 <br /> Proposed Use of Building:Garage Heat Source: OGas ❑Electric DOther <br /> BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ✓❑Accessory Structure <br /> Type of Project: DNew ❑Addition DRemodel ❑Repair ❑T.1. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Add a garage to property. <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 Ventilatior 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 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 RCW and 296,200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT /) l <br /> Owner/Authorized Age t Signature Date (Revised 10/10/2018) <br />