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EVERETT <br />WASHINGTON <br />PERMIT APPLICATION <br />BUILDING INECHANICAL / PLUMBING / SIGN / INKLER / 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 1 www.everettwa.gov/permits <br />Blue or Black Ink Only Please PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: 4715 West View Drive <br />PROPERTY TAX #: 006058-000-040-00 <br />LEGAL for new construction: Short Plat/subdivision View Acres Div No. 2 Lot No. 40 (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: Vance & Aleas Aeschleman <br />TENANT BUSINESS NAME (Commercial): <br />OWNER MAILING ADDRESS: STREET 4715 West View Dr <br />cjTy Everett <br />STATE WA <br />zlP 98203 <br />OWNER PHONE: 425-508-6002 <br />[OWNER EMAIL: vanceaes@yahoo.com <br />CONTRACTOR NA ; NA <br />CONTRACTOR ADD S: STREET <br />CITY <br />STATE <br />ZIP <br />CONTRACTOR PHONE: <br />CONTRACTOR EMAIL: <br />CONTRACTOR LICENSE #(REQUIRED): <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): <br />PRIMARY CONTACT: 0 OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Vance <br />CONTACT PHONE: 425-508-6002 <br />CONTACT EMAIL: vanceaes@yahoo.com <br />BUILDING INFORMATION <br />ExistingUse of Building: Home <br />C <br />Contract Price of Work: S J <br />Zto <br />Proposed Use of Building: Home <br />Heat Source: OGas"'!�Otlectric <br />ither <br />BUILDING USE: OSFR ::]Townhouse [:]Duplex ❑ADU 7-Multi-Family - # Units: 1 ❑Commercial OAccessory Structure <br />Type of Project: ❑New ❑✓ Addition ❑✓ Remodel ❑Re air <br />❑T.I. ❑Sin ❑S rinkler CDemolition <br />❑Chan a of Use <br />DESCRIPTION OF WORK: proposed addition of new bed and bathroom adding 396 SF to existing house. Proposal to add two <br />window dormers to existing room <br />O <br />ASSOCIATED BUILDING PERMIT # if applicable): `� <br />MECHANICAL <br />PERMIT <br />APPLICATION <br />PLUMBING PERMIT <br />APPLICATION <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtttcers <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />A/C — Air Handling Units <br />Gas Pig <br />Backflow Preventer (Inside Bldg) <br />2 <br />Shower, Tub, -combo <br />o7ter ___ <br />Gad Range <br />Clothes"i(Vasher <br />Sink- prrSmercial (3-comp,prep, floor) <br />Clothes Dryer <br />- <br />Heat Pump&Ductless <br />Dishwasher-.. <br />2 <br />Sink -Residential kitchen, bath, bar) <br />Duct System (Remodet) <br />Refrigeration <br />Drinking Fountain <br />Sink -Utility, laundry, mop <br />Exhaust Fans (Residential) <br />Commercial Ventilatio <br />(No tfeaVAQ system) <br />Floor Drain <br />1 <br />Toilet <br />Exhaust Hood (Type I - <br />Hose Bibb <br />Urinal <br />Exhaust Hood (Typ6 II) <br />Water Heater <br />7Interceptor-Grease <br />Waste/Water Piping Repair <br />Exhaust Hoo ,(kesidential) <br />Wood Stove <br />Interceptor-Sand/Oii" <br />Water Service (behind meter) <br />Forced Ai stems <br />Other: <br />Medical Gas,-"5 <br />Water Valves or Fixtures <br />Gas F eplace/Insert/Log <br />Roof Dr ai <br />Water Heater <br />SP NKLER / SUPPRESSION SYSTEM <br />Sewage Ejector or Sump Pump <br />Other: <br />Water Suppression System <br />I lNo. <br />of Heads <br />Chemical Suppression System <br />I I <br />No. of Heads <br />ACKNOWLEDGEMENT.' l 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. / am the owner, or / am authorized by the owner of this property to perform the work for which application is made, <br />and / comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />Vance Aeschleman 1 272021 <br />Owner/Authorized Agent Signature Date <br />City of Everett Official Use Only <br />PEIT # ZdOE-0 1 <br />(Revised 1011012018) , / <br />