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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 />ADDRESS: <br />3222 MUKITEO BLVD, EVERETT, WA 98203 <br />for new construction: Short PlaUsubdivision <br />DONNA R. HARTMAN <br />3222 MUKILTEO BLVD <br />IOPERTY TAX � <br />00571700102100 <br />Lot No. <br />D `� - <br />(attach copy of long legal description) <br />Phone/E-mail 206-790-2126 <br />City/state/zip EVERETT, WA 98203 <br />PLICANT: _ Owner � Owner�S A9ent _ COIlI�BCtOf _ COIlYf2CtOf�S A9@flt _ T2fl8flt (must provide a letter of consent from the owner to do work in the space) <br />R MANOS CONSTRUCTION, INC. <br />1422 EAST ALOHA STREET. SEA <br />BUILDING PERMIT APPLICATION <br />WA 98112 <br />Existing Use of Building SINGLE FAMILY RESIDENCE <br />State Lic. # MANOSCI144PA <br />P hon e/Emai I 206-325-7166 <br />Bus. Lic. # ���LZ' <br />JEFF PELLETIER <br />206-707-8895, JEFF@BOARDANDVELLUM.COM <br />PRICE OF WORK $264, 252.00 <br />HEAT <br />Proposed Use of Building SINGLE FAMILY RESIDENCE I Gas� E�ectric_ other_ <br />Building type: i� Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of project: New Addition i� Remodel Repair _ T.I. _ Sign _Sprinkler _Demolition Change of Use <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />TWO-STORY "BUMP OUT" ADDITION AT PRIMARY ENTRANCE, DECK ADDITION AT NORTH AND WEST END OF <br />RESIDENCE, AND INTERIOR REMODEL THROUGHOUT RESIDENCE. <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />A/C — air handling units <br />Forced air s stems <br />Gas i in <br />Water heater <br />Gas fire lace <br />I Gas ranqe <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Woodstove <br />j Ductin <br />Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number # of �xtures <br />I Toilet <br />Lavatory (wash <br />Shower <br />Kitchen sink 8 c <br />Dishwasher <br />Clothes washer <br />Sink (service/bar/ <br />Backflow prevent� <br />Urinal <br />Drinking Fountain <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 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 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 aulhorized by the owner of this pr�erty tle'perfor/m the work for which application is made and I comply with the State Contrectors Law 18.27 RCW and 296200A WAC. •� � <br />_� - . �'£ �: - �.Z� �/ J� <br />✓ <br />. � <br />�- - � - - � _ . _.__... <br />