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BUILDIN MECHANICAL I PLUMBING I SIGNTSPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> `411 <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: 3333 NASSAU STREET,EVERETT,WA 98201 PROPERTY TAX#: 00437578601900 <br /> LEGAL for new construction: Short Plat/subdivision EVERETT.BLK 788 D-H Lot No. WEST HALF OF 19-25 <br /> -. . , CONTACT INFORMATION <br /> OWNER NAME: VANESSA AND OLIVER LEWIS TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET P.O.BOX 12717 <br /> ciry EVERETT STATE WA ZIP 98201 <br /> OWNER PHONE: 425.330.2453 OWNER EMAIL: VANESSA@HIMALAYAHOMES.COM <br /> CONTRACTOR NAME: TBD <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR El OTHER(Please Specify) ARCHITECT <br /> CONTACT NAME: CONTACT PHONE: 206.931.0990 <br /> GARIN SCHENK-ARCHITECTURE STUDIO OF EVERETT CONTACT EMAIL: GARIN@ARCHSTUDIOEVERETT.COM <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work:$ i' 1 y 3Z <br /> Proposed Use of Building: SFR Heat Source: ®Gas ❑Electric ❑Other <br /> Building Type: ®SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units:_ ___ ___ ❑Commercial El Industrial <br /> Type of Project: I%INew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> TO CONSTRUCT A SINGLE FAMILY RESIDENCE ON AN EXISTING 14,855 SQ.FT.VACANT LOT. NEW RESIDENCE TO ENCROACH ON A TYPE Np STREAM WITH <br /> CATEGORY III WETLAND PER REASONABLE USE APPROVAL,DATED DECEMBER 20,2016. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): REV II#16-016 `�`t 0°5 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: ^New Addn _Alteration _Rep it Type of Project: _New Adds Alteration Repair <br /> #of List of Fixtures #of Li f Fixtures #of List of Fixtures #of List of Fixtures 'AFixtures Fixtures Fixtures Fixtures <br /> NC—Air Handling Units eat Pump Toilet ackflow Preventer(Inside Bldg) <br /> Forced Air Systems nit Heater Bathtub Urinal <br /> Gas Piping Her Lavatory(Wash Basin) rim ' g Fountain <br /> Water Heater — frigeration Shower or Drain <br /> Gas Fireplace ood Stove Kitchen Sink&Dis I cease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes D Hook Other: Clothes Was r Medical Gas <br /> Range od Water H er N Other: <br /> Exha t Fan Sink ervice/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Chemical or Water I I 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 Offici. .=ore 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!co'. the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMZ\<6 <br /> 63 <br /> (MS <br /> • er Authorized Agent Signature Date (Revised 9/23/2016) p2/1_ <br />