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PLUMBING PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT SUBMITTAL INSTRUCTIONS: Drop off hard copy completed paper application to 3200 Cedar Street 2nd Floor Intake Drop Box. <br /> WASHINGTON CONTACT INFORMATION: (P)425.257.8810 1(E)everetteps@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 610 47th St SE PARCEL#: 29053100301800 <br /> clTr Everett STATE WA >JP 98203 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential): <br /> CONTACT INFORMATION <br /> OWNER NAME:Nealious Grall, Erica & Kory <br /> OWNER MAILING ADDRESS: STREET 610 47th St SE <br /> clTy Everett STATE WA ZIP 98203 <br /> OWNER PHONE:206-331-6020 OWNER EMAIL:erica.nealious@gmail.com <br /> CONTRACTOR COMPANY NAME:We Honey Do u � "L <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):WEHONEYHD895C3 CIN OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> CONTRACTOR ADDRESS: STREET 14523 Hwy 99 Ste#9 <br /> clTv Lynnwood STATE WA zIP 98087 <br /> CONTRACTOR PHONE:425-775-6123 CONTRACTOR EMAIL:Sunni@Wehoneydo.Com <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ©OTHER(Please Specify) Project Designer/Applicant <br /> CONTACT NAME: Sarabeth Pemble CONTACT PHONE:425-481-8190 <br /> Fitch Design Company CONTACT EMAIL:sarabeth@fitchdesigncompany.com <br /> PLUMBING PERMIT INFORMATION <br /> VALUATION OF WORK: $ 11500 ASSOCIATED PERMIT#(if applicable): <br /> (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) <br /> BUILDING TYPE: ©SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> DESCRIPTION OF WORK: <br /> Remodeling two bathrooms, kitchen & laundry area <br /> PLUMBING PERMIT FIXTURE COUNT (SCOPE OF WORK) <br /> Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures <br /> (Qty) (Qty) <br /> Backflow Prevention Device(Inside Building)-select devices below: 2 Shower,Tub,or Combo <br /> Fire Service: ❑DCDA, Domestic Service:❑RPBA❑DCVA Commercial Sink(3-compartment,prep,floor) <br /> I Clothes Washer 3 Residential Sink(kitchen,bath,bar) <br /> t Dishwasher t Utility Sink(laundry,mop) <br /> Drinking Fountain 2 Toilet <br /> Floor Drain Urinal <br /> Hose Bibb Waste/Water Pipe Repair <br /> Ice Maker Water Service Line(Behind meter,private side) <br /> Grease Interceptor Water Valves/Fixtures <br /> Sand/Oil Interceptor Water Heater-Electric <br /> Medical Gas Water Heater-Gas <br /> Roof Drains Other(List Type): <br /> Sewage Ejector Pump/Sump Pump Other(List Type): <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.1 am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and l comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 4/4/2022 009 <br /> Owner/Authorized Agent Signature Date (Revised 2181202 1) <br />