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PERMIT APPLICATIO�� <br /> BUILDING ECHANICAL / PLUMBING / SIGN 'RINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 � (E)everetteps@everettwa.gov� www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 3614 Smith Ave, Everett,WA 98201 PROPERTY TAX#: 00576001100001 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Alex Orleans TENANT NAME(If Commercial): Northwest Zoological Supply <br /> OWNER MAILING ADDRESS: srREET 7831 196th St SW#101 <br /> cirv Edmonds sTnrE WA Z1P 98020 <br /> OWNER PHONE: OWNER EMAIL: alex@nwzoo.com <br /> CONTRACTOR NAME TBD <br /> CONTRACTOR ADDRESS: srREEr <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: TB� CONTRACTOR EMAIL: TBD <br /> CONTRACTOR LICENSE#(REQUIRED): TBD C�TY OF EVERETT BUSINESS LICENSE#(REQUIRED�: <br /> PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR � OTHER(Please Specify) Desi9ner <br /> CONTACT NAME: Manal Shawish CONTACT PHONE: (425)252-2153 <br /> CONTACT EMAIL: manal@2812architecture.com <br /> BU,ILDING PERMIT APPLICATION Va (? - b� Si.�b'(�1,1' ,PC <br /> Existing Use of Building: $ -2 ccveh��ts� 'i,' (C'L� Contract Price of Work: $�"�' �J�-�''��"��-�- ^ !`� - <br /> Proposed Use of Building: �,J Heat Source: �Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: OCommercial �Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑X T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Interior improvements within the existing building,which includes construction of new walls,demolition of <br /> some existing walls,and replacement of toilet fixtures. <br /> ���rc- �;w�Ma1.5 �r�.�a3, ���_, �„s�_��-5,�-) -„�,�I h-�. !<k.��+ ��s;�� +-i� �k..�,'l5. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of List of Fixtures #�f List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink& Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/ SUPPRESSION SYSTEM <br /> Number of Heads <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the inh�rmation contained herein is true and co�rect. Work done pursuant to this permit must comply with <br /> current federal, state,and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official before being authorized under any circumstance.I am the owner, or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# � <br /> ../�i(q� 2.1.2016 ���� ����� ��'�� <br /> � <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) � <br /> ` f� <br />