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PERMIT APPLICATIO <br /> BUILDING.ECHANICAL / PLUMBING / SIGN RINKLER/ 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:1904 75th St SE Everett, WA. 98203 RROPERTY TAX#:00674200200200 <br /> LEGAL for new construction: Short Plat/subdivisio t t1 I�IeQ 16 _ J( ptr. (attach copy of long legal description) <br /> CONTACT INFORMAT ON <br /> OWNER NAME: Richards Paul W TENANT BUSINESS NAME(commercial): 75th Park Place Condos <br /> OWNER MAILING ADDRESS: STREET1 904 75th St SE <br /> ciTy Everett STATE WA ZIP 98203 <br /> OWNER PHONE: 425-791-0479 OWNER EMAIL:75thparkplacecondos@gmail.com <br /> CONTRACTOR NAME:UrbIZO Bros Roofing, LLC. <br /> CONTRACTOR ADDRESS: STREET12515 Evergreen Dr <br /> clTy Mukilteo STATE WA zP 98275 <br /> CONTRACTOR PHONE:425-478-1250 CONTRACTOR EMAIL:maros@urbiZoroofing.COm <br /> CONTRACTOR LICENSE#(REQUIRED):URBIZBR957J8 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 40438 <br /> PRIMARY CONTACT: ❑OWNER El CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-478-1250 <br /> Bulmaro Urbizo CONTACT EMAIL:maros@urbizoroofing.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:West Side Building Contract Price of Work: $36,100.00 <br /> Proposed Use of Building:CompOSittiOn Re-roof installation Heat Source: OGas DElectric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ✓❑Multi-Family-#Units:6 ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel kRepair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Re-roof replacement-Roofing only:Removal of the existing roofing materials consisting of 1 layer of 3-tab <br /> roofing shingles,flat roof removed one layer of torch-down roof membrane. Existing roof decking will be properly prepared leaving <br /> a clean roof, free of debris.The insulation is not going to be exposed. We are going to install a CertainTeed Landmark AR 30 yr. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): B2005-012 "Denied online-submitting documents per reauest" <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 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 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. <br /> wner/Aut orized Agent Signature (747 Revised 0/2018) <br />