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ffIIMI • PERMIT APPLICATION. <br /> 11611.1 <br /> BUILDING!MECHANICAL/PLUMBING/SIGN!SPRINKLER!DEMOUTION <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 /> (91w or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:2117 GRAND AVE PROPERTY TAX#:00439143200900 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: CAPRICORN INVESTMENTS INC TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: smE r2122 36TH ST SE <br /> cmr SNOHOMISH STATE WA BP 98290 <br /> -OWNER PHONE: (425)339-2255 (OWNER EMAIL:contact@chobef(ats.com <br /> CONTRACTOR NAME:AIMPOINT CONSTRUCTION, LLC. <br /> CONTRACTOR ADDRESS: siREEr2708 91ST AVE SE <br /> city LAKE STEVENS STATE WA zip 98258 <br /> CONTRACTOR PHONE:(425)610-7 TRACTOR EMAIL:everettwa@aimpointconstruction.com <br /> CONTRACTOR LICENSE#(REQUI D):AIM POCL840RH (J ienor OF EVERETT BUSINESS LICENSE#(REQUIRED): 61206 <br /> PRIMARY CONTACT: ❑OWNER HER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:(425)610-7543 <br /> Corey Williams CONTACT EMAIL:everettwa@aimpointconstruction.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:DUPLEX Contract Price of Work:$20,000.00 <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New DAddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ®Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: REMOVE EXISTING DUPLEX IN PREPARATION FOR NEW MULTI-FAMILY STRUCTURE. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Rxkue Fixture List of Fixtures cou rr List of Fixtures Fixture List of Fixtures F ore List of Fixtures <br /> Count Count Count <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 Factures <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 /> Bufiding Official before being authorized under any circumstance.lam the owner,or lam authorized by the owner of this property to perform the work for which application is made, <br /> and I with the State Contract 18.27RCWand 296.200A WAG. <br /> Cityty ofEveretttt Official Use Only <br /> ! ?o/20lg PER 1 �C./V)./ <br /> • ner/Authoriz gent Signature date [ (Revised 10/10/2018) <br /> it <br />