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MN PERMIT APPLICATION' <br /> gm <br /> BUILDING I MECHANICAL/ PLUMBING /SIGN /SPRINKLER/DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WAsmiNo rot (P)426-257-8810 i FAX 425-257.$857 ((B)everettepsr+everettwa,gov l wawv,everettwa.gavlpermits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:9824 Holly Drive, Everett,WA 98204 PROPERTY TAX#;28041300306900 <br /> LEGAL for new construction: Short Plat/subdivision Sec 13 Twn 28 Rng 4 Lot No.2 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Parneeta Lai TENANT BUSINESS NAME(Commercial), <br /> OWNER MAILING ADDRESS: STREET 26828 Maple Valley Hwy#308 <br /> erry Maple Valley STATE WA Zip 98038 <br /> OWNER PHONE: 206-501-6379 OWNER EMAIL:indigoenterprises@gmail.com <br /> CONTRACTOR NAME:Indigo Enterprises,LLC I Peter Krenzke <br /> CONTRACTOR ADDRESS: STREET 26828 Maple Valley Hwy#308 <br /> cm, Maple Valley STATE WA ZIP 98038 <br /> CONTRACTOR PHONE:206-501-6379 CONTRACTOR EMAIL: ndigoenterprises@gmail.com <br /> ZivOtF E <br /> CONTRACTOR LICENSE#(REQURED):-�A A 75LW CITY OF EVERETT BUSINESS LiCENSE#(REQUIRED): NAICS 23611562116 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR CI OTHER(Please Specify) <br /> CONTACT NAME; CONTACT PHONE;206-501-6379 <br /> Peter Krenzke CONTACT EMAIL:indigoenterprises@gmail.Corn <br /> BUILDING INFORMATION <br /> Existing Use of Building:existing home is SFR Contract Price of Work:$70,088.72 <br /> Proposed Use of Building:MFH as ADU Heat Source: OGas DElectric DOther <br /> BUILDING USE: ©SFR DTownhouse [Duplex ZIADU [Multi-Family-#Units: _ [Commercial [Accessory Structure <br /> Type of Project: (ZNew DAddition LiRemodel [Repair DTI. [Sign DSprinkler ElDemolition ['Change of Use <br /> DESCRIPTION OF WORK: Proposing to install a new 24'x33'MFH as ADU <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 Ventilatior Floor Drain Toilet <br /> Exhaust Hood-{Type I) {Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type It) 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 No.of Heads <br /> ACKNOWLEDGEMENT.t 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 1 comply with the State Contractors Lbw 16.27 RCW and 256 200A WAC. <br /> City of Everett Official Use Only <br /> ER M <br /> 9 <br /> y IT//t# ( <br /> //+(,/��t ■�) y/gpy�� .��/� ..y. 0 R <br /> nJn O tAuthorized Argent Signature. Date ( e iS d f pf7a°2®f f <br />