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PERMIT 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 />APPLICATtONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ITE ADDRESS: <br />1415 W Mukilteo Blvd , Everett WA <br />2502 <br />PERMIT # <br />for new construction: Short PlaUsubdivision Maple Heights Lot No. 25 (attach copy of long legal description) <br />Carpe Noctem LLC <br />12028 201st Pl NE <br />Phone/E-mail 425-492-4696 <br />Woodinville. WA 98077 <br />APPUCANT: X Owner _ Ov✓ner's Agent _ Contractor _ Contractor�S A90fli _ T2f18l1t (mi�st provide a letter of consent from the owner to do work in the space) <br />CONTRACTOR Titan Framing LLC L& I Lic. # TITANFL872LQ COE Bus. Lic. # <br />Address 1510 Cove Beach way, Camano Island,WA 98292 360-9410811 � <br />PhonelEmail � I�' � ��C�. y � 1. <br />TENANT BUSINESS NAME CONTACT FOR PERMIT �'�uSr�� <br />Cynthia Dickins dickinscmUgmail.com j <br />Phone/E-mail 425-492-4696 '� ,J�i1�i � <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK TBD - Estimate �$60k <br />Existing Use of Building Residential s'�� HEAT SOURCE: <br />Proposed Use of Building Residential s{�'� Gas_ Electric Other <br />Suilding type_ X Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of project: New Addition X Remodel X Repair _ T.I. _ Sign _Sprinkler _Demolition Change of Use <br />DESCRIPTION OF WORK (addifional space provided on the back) : <br />Repair water damage to drywall and flooring; finish basement; reconfigure kitchen; add bath; <br />add bedroom; repair decks <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _New _Addn �Alteration _Repair <br />Show Number (#) of fixtures <br />AIC — air handling units <br />� Forced air systems <br />� Gas piping <br />Water heater <br />Gas firepiace <br />Ciothes <br />Unit heater <br />SPRINKLER / SUPPRESSION <br />Number of Heads <br />PLUMBING PERMIT APPLICATION <br />of Project: _New _Addn X Alteration _Repair <br />Show Number (#) of f»rtures <br />tl Toilet <br />Sink <br />Floor drain <br />Grease trap <br />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />I hereby certify that I have read and examined this applicatan and know the same to be true and correct. All provisions ot laws and ordinances governing this type of work will be complied <br />with whether specified herein or not. The granting of a pertnd does not presume to give authority to violate or cancel the provision of any other state or bcal haw 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 />/�� � � � �� <br />f 1 S' <br />ized Agent Signatuse Date <br />(Revised 612092) � � <br />0 <br />