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PERMIT APPLICATION <br />BUILDING/MECHANICAUPLUMBING/SIGN/SPRIN KLER/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: <br />1617 Ed emoorLane <br />PROPERTY TAX # <br />1 00740400000500 <br />POI 937 O <br />LEGAL for new construction: Short Plat/subdivision Crestwood Lot No. 5 (attach copy of long legal description) <br />OWNER Bruce McKinnon <br />Phone/E-mail 425.353.5642 / brucemckinnon@msn.com <br />Address 1617 Ed emoor Lane <br />City/State/Zip Everett, WA 98203 <br />APPLICANT: X Owner _ Owner's Agent _ Contractor _ Contractor's Agent _ Tenant (must provide a letter or consent from the owner to do work in the space) <br />CONTRACTOR �,U� <br />State Lic. # f-1 DVAN�(,cJp i Bus. Lic. # <br />'%. <br />Address p y" LA#- <br />�, g01 Z <br />J- Oo 62- 9-450 <br />Phone/Email y <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT <br />Phone/E-mail <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK I < ®b E-t-0& Fs�/►►va <br />Existing Use of Building Single Family Residence HEAT SOURCE: <br />Proposed Use of Building Single Family Residence Gas Electric other <br />Building type: g Single Family _ Duplex _Townhouse Multi -Family _ Commercial <br />Type ofproject: New Addition Remodel x Repair T.I. Sin Sprinkler Demolition Change of Use <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />- Remove existing timber retaining wall & replace with pipe pile & anchor retaining wall. <br />Remove & replace sidewalk along south side of house. Install stairs along south property <br />line. Fill & grade back yard approx 30 CY. Install drainage & repair existing patio <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New <br />Show <br />_Addn _Alteration _Repair <br />Number # of fixtures <br />Type of Project: _New <br />Show <br />_Addn _Alteration _Repair <br />Number # of fixtures <br />A/C — air handling units <br />Toilet <br />Forced airs stems <br />Bathtub <br />Gas piping <br />Lavatory wash basin <br />Water heater <br />Shower <br />Gas fireplace <br />Kitchen sink & disposal <br />Gas range <br />Dishwasher <br />Clothes dryer <br />Clothes washer <br />Range hood <br />Water heater <br />Exhaust fan <br />Sink (service/bar/mop/etc.) <br />Heat pump <br />Backflow preventer inside bld <br />Unit heater <br />Urinal <br />Boiler <br />Drinking Fountain <br />Refrigeration <br />Floor drain <br />Woodstove <br />Grease trap <br />Ducting <br />Roof drains <br />Other <br />Medical Gas <br />SPRINKLER <br />/ SUPPRESSION SYSTEM <br />Other: <br />Number of Heads <br />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 compl <br />with whether specified herein or not. The grantin 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 am onzed by the o n of this pro 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 />Own /Autho ' e A n nature Date (Revised 412015) ( g <br />U - <br />CIS <br />