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OrreTT PERMIT APPLICATIOI <br /> BUILDING , MECHANICAL / PLUMBING / SIGN f SPRINKLER I DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (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: 5505 Evergreen Way PROPERTY TAX#: 00393200100900 <br /> LEGAL for new construction: Short Flat/subdivision Beverly Hills Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Hensrude Scott T & Christy M TENANT NAME(If Commercial): Caliber Collision <br /> OWNER MAILING ADDRESS: STREET 6130 Maltby Rd <br /> CITY Woodinville STATE WA ZIP 98072 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: AMAROK, LLC '- I�(/ `t C G wo,,ep, QoofJ I_L C p ems- d i/ Cowl"rci aur <br /> CONTRACTOR ADDRESS: STREET 550 ASSEMBLY ST 5TH FL <br /> CITY COLUMBIA STATE SC zmn 29201 <br /> CONTRACTOR PHONE:803-404-6186 CONTRACTOR EMAIL: dmclellan@amarok.com <br /> CONTRACTOR LICENSE#(REQUIRED): CC ELECTGD877JE CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 57096 <br /> PRIMARY CONTACT: 0 OWNER ':4 CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 803-201-1773 <br /> MICHAEL PATE &/OR Donld McLellan <br /> CONTACT EMAIL: dmclellan@amarok.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: 649 OTHER REPAIR SVS NEC Contract Price of Work: $ 10,752.00 <br /> Proposed Use of Building: NO CHANGE Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached El Duplex ❑Multi-Family-#of Units: ®Commercial ❑Industrial <br /> Type of Project: New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler El Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> INSTALLATION OF 10-FT TALL, 12-VOLT DC BATTERY OPERATED, SOLAR POWERED, SECURITY SYSTEM FENCE. <br /> SECURITY SYSTEM IS INDEPENDENT OF THE BUILDING'S POWER INFRASTRUCTURE AND WILL BE INSIDE THE <br /> EXISTING PERIMETER FENCE. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New _ Addn _Alteration _Repair Type of Project: New _Addn _Alteration _Repair <br /> #of #of <br /> List of Fixtures #of List of Fixtures #of List of Fixtures List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER / SUPPRESSION SYSTEM <br /> Chemical or Water ( 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 /> PERMIT# <br /> rn <br /> 1/2 612 02 2 � � 7-0 I �Y� <br /> Owner/Autho ' gent gnature Date (Revised 9/23/2016) 1/1 <br />