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� <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 `Zp �-3� '-I � <br />SITE ADDRESS: Family Tree Apts. - Maintenance Building PROPERTY TAX # 2g051900100200 P RMIT # �y <br />10110 19th Ave SE #R200 Everett, WA 98208 �j D"' ��� <br />LEGAL for new construction: Short PlaUsubdivision ��a Lot No. (attach copy of long legal description) <br />Mercy Housing NW <br />2505 Third Avenue <br />Phone/E-mail i206) 838-5700 x 19 contact: Alisa Luber <br />Seattle, WA 98121 <br />LICANT: _ Owner X Owner�S A9@Ilt _ COf1tf8CtOf _ COf1tf0CtO��S A96flt _ T2f1011t (must provide a letter of consent from the owner to do work in lhe space) <br />Buchanan General Contracting Co. <br />PO Box 40069, Bellevue 98015 <br />�& I �ic. # BUCHAGC159CF COE Bus. Lic. # T.B.D. <br />maii (425) 462-1326 Casey@buchanangc.com <br />Tim Quinn - Tonkin Architects 206 816-4400 cell <br />Phone/E-mail 206 624 7880 x117 office timq@thl-arch.com <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK �=����' 1���"' <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 />New exterior siding only, one story building: remove existing vinyl siding and replace with new cementitous siding. <br />MECHANICAL PERMIT APPLICATION <br />of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of �xtures <br />A/C — air handlina units <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 />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />PLUMBING PERMIT APPLICATION <br />of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />I Toilet <br />Shower <br />Kitchen sink & c <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bz <br />Urinal <br />Floor drain <br />Grease tra <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 specified 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 pertorm 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 (Revised 6/2012) <br />