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s� <br />EVERETT <br />WASHINGTON <br />PERMIT APPLICATION <br />BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I wvw.everetMe.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS:1719 California Ave St Everett, WA 98201 <br />PROPERTY TAX #: 00439162700100 <br />LEGAL for new construction: Short Plattsubdivision EVERETT PLAT OF BLK 627 D-00 Lot No. 1 &2 (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: EverettOZ Developer, LLC TENANT BUSINESS NAME (Commercial): <br />OWNER MAILING ADDRESS: STREET 1420 Fifth Ave, Suite 2200 <br />tiny Seattle STATE WA zip 98101 <br />OWNER PHONE: <br />OWNER EMAIL: <br />CONTRACTOR NAME: One Way Plumbing LLC <br />CONTRACTOR ADDRESS: STREET 127 10th St South Suite #200 <br />CITY Kirkland STATE WA ZIP 98033 <br />CONTRACTOR PHONE: 206-427-4578 <br />1CONTRACTOREMAIL:jeffg@owpllc.net <br />CONTRACTOR LICENSE#(REQUIRED): ONEWAWP895BU <br />CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PENDING <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Jeff Gerard <br />CONTACT PHONE:206-427-4578 <br />CONTACT EMAIL: jeffg@owpllc.net <br />BUILDING INFORMATION <br />Existing Use of Building: <br />Contract Price of Work: $ 2,387,900.00 <br />Proposed Use of Building: <br />I Heat Source: []Gas ❑Electric ❑Other <br />BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑✓ Multi -Family - # Units: ❑Commercial ❑Accessory Structure <br />Type of Project: ❑✓ New ❑Addition ❑Remodel ❑Repair LIT. 1. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br />DESCRIPTION OF WORK: Install of plumbing in new multifamily building <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <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 —Air Handling Units <br />7 <br />Gas Piping <br />4 <br />Backflow Preventer (Inside Bldg) <br />187 <br />Shower, Tub, or Combo <br />Boiler <br />Gas Range <br />165 <br />Clothes Washer <br />Sink -Commercial (3-comp,prep,floor) <br />Clothes Dryer <br />Heat Pump&Ductless <br />165 <br />Dishwasher <br />170 <br />Sink -Residential (kitchen, bath, bar) <br />Duct System (Remodel) <br />Refrigeration <br />2 <br />Drinking Fountain <br />2 <br />Sink -Utility, laundry, mop <br />Exhaust Fans (Residential) <br />Commercial Ventilatior <br />(Not Heat/AC system) <br />10 <br />Floor Drain <br />189 <br />Toilet <br />Exhaust Hood (Type I) <br />1$ <br />1 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-Sand/Oil <br />Water Service (behind meter) <br />Forced Air Systems <br />Other: <br />Medical Gas <br />Water Valves or Fixtures <br />Gas Fireplace/InserULog <br />3$ <br />Roof Drains <br />2 <br />Water Heater <br />SPRINKLER / SUPPRESSION SYSTEM <br />Sewage Ejector or Sump Pump <br />Other: <br />Water SuppSuression System <br />No. of Heads <br />Chemical ppression System <br />I <br />INo. of Heads <br />ACKNOWLEDGEMENT: 1 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 1 am authorized by the owner of this property to perform the work for which application is made, <br />and 1 complywith the State Contractors Law 18.27RCWand 296.200A WAC. <br />Jeff Gerard <br />1'amu"t-d�.nozii�m. cr.exoam <br />Owner/Authorized Agent Signature Date <br />City of Everett Official Use Only <br />PERMIT # <br />(Revised 1011012018) <br />