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PERMIT APPLICATION <br />BUILDING 1 MECHANICAL 1 PLUMBING 1 SIGN 1 SPRINKLER/ DEMOLITION <br />EVERETT 32CITY OF EVERETT PERMIT SERVICES <br />00 CEDAR STREET, EVERETT, WA 98201 <br />wASN INRTnN (P)425-257-8810 1 FAX 425-257-8857 1(E) everettepS(aDeverettwa.gov 1 www.everettwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS:33O{SEAWAY BLVD 98203 <br />PROPERTY TAX#:28040300400300 <br />LEGAL for new construction: Short Plallsubdivision Lot No_ (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: JSH PROPERTIES TENANT BUSINESS NAME (Commercial): MAGNIX <br />OWNER MAILING ADDRESS: SM11T14900 INTERURBAN AVE S <br />,IT, SEATTLE srATE WA zla 98168 <br />OWNER PHONE: 206-262-9622 <br />OWNER EMAIL: <br />CONTRACTOR NAME:ALLSTAR HEATING <br />CONTRACTOR ADDRESS: sTREETPO BOX 70 i <br />,IT, FALL CITY STATE WA nR 98024 <br />CONTRACTOR PHONE:425-766-1941 <br />1CONTRACTOR EMAIL:PATRICK@ALLSTAR-HVAC.COM <br />CONTRACTOR LICENSE #(REQUIRED):ALLSTHAO44JK <br />ICITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 34555 <br />PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />PATRICK CONVERSE <br />CONTACT PHONE:425-766-1 941 <br />ICONTACT EMAIL:PATRICK@ALLSTAR-HVAC.COM <br />BUILDING INFORMATION <br />Existing Use of Building: <br />Contract Price of Work: 53755.00 <br />Proposed Use of Building: lHeat <br />Source: OGas ❑Electric ❑Other <br />BUILDING USE: ❑SFR ©Townhouse ❑Duplex ,LADU ❑Mull -Family -#Units: ❑✓Commercial ClAccessory Structuro <br />Type of Project: ❑New ❑r Addition ❑Remodel `, I]Repalr ❑T.I. ❑Sin ❑S rinkfer ❑Demolition ❑Chan a of Use <br />DESCRIPTION OF WORK: <br />INSTALL BATH ROOM FAN <br />ASSOCIATED BUILDING PERMIT # if applicable): V 0 t J <br />MECHANICAL PERMIT <br />APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Fixture <br />Count <br />List of Fixtures <br />Ffxture <br />count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />A/C - AirHardlingUnits <br />Gas Piping <br />BeeldlowPrevenler(inside Bldg) <br />Shower, Tub, or Combo <br />Boiler <br />Gas Range <br />Clothes Washer <br />Sink -Commercial (3-comp,prep,floor) <br />Clothes Dryer <br />Heat Pump&Ductless <br />Dishwasher <br />Sink -Residential d hen,bath,bar) <br />1 <br />Duct System (Remodel) <br />Refrigeration <br />Drinking Fountain <br />Sink -Utility, laundry, mop <br />Exhaust Fans (Residential) <br />Commercial Ventilatior <br />(Not HeaUAC system) <br />Floor Drain <br />Toilet <br />Exhaust Hood (Type 1) <br />Hose Bibb <br />Urinal <br />Exhaust Hood (Type II) <br />Water Heater <br />Interceptor -Grease <br />WastelWater Piping Repair <br />Exhaust Hood (Residential) <br />Wood Stove <br />Interceptor-Sand1011 <br />Water Service (behind meter) <br />Forced Air Systems <br />Other: <br />Medical Gas <br />Water Valves or Fixtures <br />Gas Fireplace/insert/Log <br />Roof Drains <br />Water Heater <br />SPRINKLER I SUPPRESSION <br />SYSTEM <br />Sewage Ejector or Sump Pump <br />Other: <br />Water Suppression System <br />No. of Heads <br />Chemical Suppression Sysl <br />No. of Heads <br />ACKNOWLEDGEME . ve reviewed this ap cation and confirm the information conteined herein is true and correct. Work done pursuant to this permit must comply with <br />current federal, sta and cal law. the granting �t a permit only authorizes approved work and no deviations therefrom. Deviations must first be authortzed in writing from the <br />Building Official are b f g authodzed under a circumstance.) am the owner, or I am authorized by the owner ofthis property to perform the work for which application is made, <br />and I comply w' the St Contractors Law 1 7 RCW end 296.200A WAC. <br />!' City of Everett ONlclal Use Only <br />PERMIT# <br />� U <br />Ow lAuthgrize A nt SignatureI Date I (Revised 1011012018) <br />