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9 . <br /> 'ERI' IT APPLICATION <br /> BUILDING /MECHANIC'L/ PLUr I=ZING I SIGN /SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> (Mae or Black ink straitly Pi®gise) PROJECT SITE INFORMATION <br /> j PROJECT SITE ADDRESS: 3525 Lomabard Ave PROPERTY TAX#: <br /> L LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Leah Alejandro TENANT NAME(If Commercial): <br /> 'OWNER MAILING ADDRESS: STREET 3525 Lombard Ave <br /> I crrY Everett STATE WA zip 98201 <br /> OWNER PHONE: 425-953-0682 OWNER EMAIL:bowers.lea@gmail.com <br /> CONTRACTOR NAME: Sealown Electric Corp. <br /> CONTRACTOR ADDRESS: STREET 3431 Broadway <br /> CITY Everett STATE WA... ZIP 982 <br /> CONTRACTOR PHONE: 206-905-3690 CONTRACTOR EMAIL: rnakayla@seatownelectrlc.com <br /> v <br /> CONTRACTOR LICENSE#(REQUIRED): SEATOEH821 DG CITY OF EVERETT BUSINESS LICENSE#(REQUIR ):53916 <br /> PRIMARY CONTACT: El OWNER `CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-905-3690 <br /> Makayla Roe CONTACT EMAIL: makaylam- - : ownelectric.com <br /> BUILDING PERMIT APPLICATIO <br /> Existing Use of Building:ReStindentaI Contract Price of Wo k:$20,000.0I <br /> Proposed Use of Building: Heat Source: elGas ❑Elec ❑Other <br /> tBuilding Type: OSFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: , ,_ OCommercial IJIndustrial <br /> Type of Project: New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> 2 New gasllnes from 2 new meters.Downstairs:tanklessBBdryer and range.Upstairs:water heater range and dryerNew 18k ducted duckless In attic.New 12k ductless in basement <br /> ASSOCIATED BUILDING PERMIT#(if applicable): El 805-124 SkivViuj Peun.a, le.elkorziAvvi r <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 List of Fixtures List of Fixtures List of Fixtures <br /> Fixtures Fixtures Fixtures#of l Fixtures#of <br /> A/C-Air Handling Units , Heat Pump. Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Pi In <br /> Boiler <br /> Lavatory(Wash Basin):, �t7rlrlking Fountain <br /> I Water Heater n Shower. Floor Drain <br /> Gas Fireplace i 'Wood Stove Kitchen Sink&Disposal Grease Trap <br /> r <br /> 2. Gas Range Ducting Dishwasher i Roof Drains <br /> ,z, Clothes Dryer Hookups r Other: r Clothes Washer Medical Gas i <br /> Range Hood Water Heater Other: <br /> Exhaust Fan —i Sink(Service/Bar/Map/etc.), Other: , <br /> 1 <br /> SPRINKLER_!SUPPRESSION SYSTEM_ I <br /> F____ jChemical 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.tam the owner,or tam authorized by the owner of this property to perform the work for which application is made, <br /> and l „r ly " Contractors Law 18.27 RCW and 298.200A WAC. <br /> City of Everett Official Use Only <br /> t f PERMIT II <br /> 0 nerll4uthoriz ge Signature I Date (Revised 9/23/2016) -. i/ <br /> J ti lr i j )� - �),� I ., ; 1 <br />