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%RMIT APPLICAT101P <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> SITE ADDRESS: PROPERTY TAX# PE MIT# <br /> 5131 Dogwood Dr., Everett, WA 98203 100442200000100 — D <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER Kim Kirkendall Phone/E-mail <br /> Address 5131 Dogwood Dr. city/state/zip Everett, WA 98203 <br /> APPLICANT: Owner Owner's Agent X Contractor _Contractor's Agent _Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR Innovative Foundation Solutions State Lic.# INNOVF5862N1 City Bus. Lic.# 1,5 <br /> Address 4585 S 134th PL, Tukwila, WA 98168 Phone/Email 206-535-2886/maria@emailifs.c m <br /> TENANT BUSINESS NAME CONTACT FOPERMIT <br /> Mari�Rap ' 9,, -7.73-2i� <br /> Phone/E-mail 206-535-2886/maria malllfs.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 8000.00 <br /> Existing Use of Building Single Family Residence HEAT SOURCE: <br /> Proposed Use of Building Gas X Electric Other <br /> Building type: X Single Family _Duplex :_Townhouse Multi-Family Commercial <br /> Type ofproject: New Addition Remodel X Repair T.I. Sin Sprinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Foundation Settlement Repair; Install Push Piers <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn _Alteration_Repair Type of Project: _New_Addn _Alteration_Repair <br /> Show Number # of fixtures Show Number # of fixtures <br /> A/C—air handling units Toilet <br /> Forced airs stems Bathtub <br /> Gas piping Lavatory wash basin <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink service/bar/mo /etc. <br /> Heat pump Backflow preventer inside bld <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I hereby certify that I have read and examined this application and know the same to be true and correct.All provisions of laws and ordinances governing this type of work will be comp <br /> with whe r pecified herein or not.The granting of a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction <br /> That I a a rized y t wrier party to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> 9- v'I s �l z <br /> uthorized Agent Signature Date (Revised 4/2015) <br />