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4rerr 0 PERMIT APPLICATIOP <br /> BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER / 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:2110 Hewitt Avenue PROPERTY TAX#:00439168800100 <br /> LEGAL for new construction: Short Plat/subdivision SEC 20 TSP 29 R 5 Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Broadway and Hewitt Investment TENANT BUSINESS NAME(Commercial): TBD <br /> OWNER MAILING ADDRESS: STREET 2812 Rucker Avenue <br /> ci-r,. Everett STATE WA ZIP 98201 <br /> OWNER PHONE: (425)760-9336 Howie Bargreen OWNER EMAIL:hbargreen@aol.com <br /> CONTRACTOR NAME:Forest Contracting Inc <br /> CONTRACTOR ADDRESS: STREET 27018 233RD Place SE <br /> CITY Maple Valley STATE WA ZIP 98038 <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL:real@forestcontracting.com <br /> CONTRACTOR LICENSE#(REQUIRED):UBI: 601-034-883 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: DOWNER ❑ CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-760-9336 <br /> Howie Bargreen CONTACT EMAIL:hbargreen @aol.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Retail/Trade Contract Price of Work: $$5000 <br /> Proposed Use of Building:TBD Heat Source: ❑v Gas DElectric DOther <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 ❑✓Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Remove existing failing brick facade above existing front entrance to prepare for new construction. <br /> Place temporary contruction fencing in ROW on sidewalk <br /> ASSOCIATED BUILDING PERMIT#(if applicable): pW 1.606-006 <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 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/Insert/Log 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 7 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 /> r"Z� (�. Sept 21,2020 -3 � tI —(� <br /> (J) <br /> Owner/Authorized Agent Si ature Date (Revised 10/10/2018) <br /> VZ <br />