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s <br />, • <br />PERMIT <br />• <br />APPLICATION <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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM O2 ��— /� <br />ADDRESS: Family Tree Apts. - Buildin �.' ' PROPERTY TAX # 2g051900100200 P MIT # <br />10110 19th Ave SE Everett, WA 98208 � j��j Q���j '+� <br />(L for new construction: Short Plat/subdivision ��a Lot No. (attach copy of long legal description) <br />Mercy Housing NW <br />2505 Third Avenue <br />_ Owner X Owner's Agent <br />Phone/E-mail �206) 838-5700 x 19 contact: Alisa Luber <br />City/State/Zip Seattle, WA 98121 <br />Contractor _ Contractor�S AgB�t _ T0�8f1Y (must provide a letter of consent from the owner to do work in Ihe space) <br />ONTRACTOR Buchanan General Contracting Co. <br />PO Box 40069, Bellevue 98015 <br />BUILDING PERMIT APPLICATION <br />L& I Lic. # BUCHAGC159CF COE Bus. Lic. # T.B.D. <br />Phone/Email i425) 462-1326 Casey@buchanangc.com <br />Tim Quinn - Tonkin Architects 206 816-4400 cell <br />�hone/E-mail 206 624 7880 x117 office timq@thl-arch.com <br />ONTRACT PRICE OF WORK <br />�. �J� <br />Existing Use of Building R-2 Multifamily Residential HEAT SOURCE: <br />R-2 Multifamily Residential X <br />Proposed Use of Building Gas Electric other <br />Building type: _ Single Family _ Duplex �Townhouse X Multi-Family _ Commercial <br />Type of project: New Addition Remodel Repair X T.I. _ Sign _Sprinkler _Demolition Change of Use <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />Interior tenant improvements and new siding: remove existing vinyl siding and replace with new cementitous siding.�ntrri�+rT I–werk t� �������+ ��w <br />� , , ; , <br />n s. <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number f#) of Fxtures <br />fvc; – air nanaung un <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Ducting <br />Other <br />I SUPPRESSIO <br />Number of Heads <br />PLUMBING PERMIT APPLICATION <br />of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of �xtures <br />Bathtub <br />Kitchen sink 8� dis <br />Clothes washer <br />Water heater <br />Backflow prevent� <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trao <br />Medical Gas <br />Other: <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 complied <br />with whether specifed 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 am authorized by the owner of this property 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 />l� � <br />Owner/Authorized Agent Signature Date <br />(Revised 6/2012) <br />