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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 1(E)everetteps@everettwa.gov i www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:2414 Virginia Ave. PROPERTY TAX#:00562654502500 <br /> LEGAL for new construction: Short Plat/subdivision ROCKERS 3RD PLAT BLK 545 D-00.ALL OF LOTS 25 8,26 Lot No.25&26 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Lynne Buehler TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: sTREET2414 Virginia Ave. <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE:425,3 7 1914 OWNER EMAIL:SaSSChique@gmail.COm <br /> CONTRACTOR NA E:TBD <br /> CONTRACTOR AD • STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: , CONTRACTOR EMAIL: \ <br /> CONTRACTOR LICENSE#(REQUIR D): / CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER CONTR TOR ❑OTHER(Please Specify) Architect <br /> CONTACT NAME: CONTACT PHONE:425.317.8017 <br /> Tom Griffin - Capital Architects CONTACT EMAIL: tom@caparchgroup.com <br /> BUILDING INFORMATION <br /> Existing Use of Building: Contract Price of Work:$10,000 <br /> Proposed Use of Building: Heat Source: OGas ❑Electric ❑Other'/' <br /> BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU EMulti-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑✓Remodel ❑Repair ETA. OSign ❑Sprinkler ❑✓Demolition EChange of Use <br /> DESCRIPTION OF WORK: Demolish existing front porch, stairs, and canopy/roof deck <br /> and construct new porch, stairs, and canopy/roof deck in place of existing. <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 /> 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 /> 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/InserULog 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 /> PERM <br /> rtrA: e - 12. - <br /> ZKM ao <br /> Owner/Auth rized Age Signature Date (Revised 10/10/2018) <br /> /7 <br />