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PERMIT APPLICATIO ' <br /> BUILDIN( ECHANICAL / PLUMBING / SIGNWPRINKLER/ DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHfNGTON (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:1722 127th PL SE Everett 98208 PROPERTY TAX#:28053000404900 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> - <br /> CONTACT INFORMATION <br /> OWNER NAME: Stephen Morrison TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET1722 127th PL SE <br /> c[TY Everett STATE WA ZIP 98208 <br /> OWNER PHONE: 4253591187 OWNER EMAIL:Stelm076@gmall.COM <br /> CONTRACTOR NAME:Stephen Morrison <br /> CONTRACTOR ADDRESS: STREET1722 127th PL SE <br /> cc-,, Everett STATE WA ZIP 98208 <br /> CONTRACTOR PHONE:4253591187 CONTRACTOR EMAIL:Ste111076@gMall.COm <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:4253591 187 <br /> Stephen Morrison CONTACT EMAIL:Stem076@gmail.com <br /> BUILDING INFORMATION <br /> Existing Use of Building: Contract Price of Work: $25000.00 <br /> Proposed Use of Building:Garage Heat Source: ❑Gas ❑Electric DOtherNone <br /> BUILDING USE: ❑SFR Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑✓Accessory Structure <br /> Type of Project: lNew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: 24x32 garage <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture FixtureI <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 Ventilatior 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/InserULog Roof Drains Water Heater <br /> SPRINKLER /SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System 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.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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT.# Cr �I <br /> Owner/Authorized gent Signature Date (Revised 10 10/2018) <br />