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2228 127TH PL SE 2024-02-26
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2228 127TH PL SE 2024-02-26
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Last modified
2/26/2024 2:43:00 PM
Creation date
10/20/2023 9:54:21 AM
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Address Document
Street Name
127TH PL SE
Street Number
2228
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• • <br /> PERMIT APPLICATION <br /> BUILDING / MECHANICAL/ PLUMBING 1 SIGN 1 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 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:2228 127th PI SE,Everett 98028 PROPERTY TAX#:00921700000200 <br /> LEGAL for new construction: Short Plat/subdivision Lot No.__ (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: DAWEN CH EN TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: 3TREET2228 127th PI SE <br /> CITY Everett STATE WA Zip 98028 <br /> OWNER PHONE: 206.354.2605 OWNER EMAIL:ChefldW31 1©gmail.com <br /> CONTRACTOR NAME:DAWE N CH E N <br /> CONTRACTOR ADDRESS: sTREET2228 127th PI SE <br /> me Everett STATE WA ZIP 98028 <br /> CONTRACTOR PHONE:206.354.2605 CONTRACTOR EMAIL:ChendW31 1 @gmail.COM <br /> CONTRACTOR LICENSE#(REQUIRED):(COr1StrUCted by owner) CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR 0 OTHER(Please Specify) MANDY LIU (DESIGNER) <br /> CONTACT NAME: CONTACT PHONE:2065010323 <br /> MANDY LIU CONTACT EMAIL:caulkingcc©gmail.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Single family residence Contract Price of Work:$10000 <br /> Proposed Use of Building:Single family residence Heat Source: ❑Gas ❑Electric DOther No heating <br /> BUILDING USE: EISFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units:_ ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New klAddition ❑Remodel ILRepair L IT.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> ADDING ONE NEW STORAGE ROOM IN THE BACKYARD <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 /> NC—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 /> PERM OI co <br /> \-2../; 017,„7.0 <br /> Owner/Authorize Agent Signature Date (Revised 10/1 /2018) <br />
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