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9 74TH ST SW 2024-08-06
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9 74TH ST SW 2024-08-06
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8/6/2024 2:05:56 PM
Creation date
4/30/2024 9:48:42 AM
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Address Document
Street Name
74TH ST SW
Street Number
9
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66 <br /> PERMIT APPLICATION <br /> BUILDING / MECHANICAL/ PLUMBING /SIGN /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:9 74th St. SW, Everett WA 98203 PROPERTY TAX#:00571400000600 <br /> LEGAL for new construction: Short Plat/subdivision SHIELD CREST BLK 000 D-00- Lot No.6 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Russell and Brenda Clark TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: sTREET9 74th St. SW <br /> CITY Everett STATE WA ZIP 98203 <br /> OWNER PHONE: (425) 319-5500 OWNER EMAIL: <br /> CONTRACTOR NAME:Town and Country Permabilt <br /> CONTRACTOR ADDRESS: STREET 16521 HWY 99 Suite C <br /> CITY Lynnwood STATE WA ZIP 98203 <br /> CONTRACTOR PHONE:(425)743-1555 CONTRACTOR EMAIL:permits_assist@permabilt.com <br /> CONTRACTOR LICENSE#(REQUIRED):TOWNCPFO99LT CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 12646 <br /> PRIMARY CONTACT: ❑OWNER El CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:(425) 743-1555 <br /> Zoe Euster CONTACT EMAIL:permit_assist@permabilt.com <br /> IBUILDING INFORMATION <br /> Existing Use of Building: Contract Price of Work:$$26,377.00 <br /> Proposed Use of Building:Garage Heat Source: ❑Gas ❑Electric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: Commercial ❑Accessory Structure <br /> Type of Project: ✓❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler EDemolition ❑Change of Use <br /> DESCRIPTION OF WORK: New, detached29r441 f t Lpole building garage, no heat or plumbing <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 /> 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 Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System of Heads <br /> Chemical Suppression System I No.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 1 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 \C? t cy, Oui29 , <br /> — (_/(i,:2., —7 ((2_ //ci <br /> Owner/Au orized Agent Signature Date (Revised /10/2018) <br />
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