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4En. PERMIT APPLICATION <br /> BUILDIN( IECHANICAL/ PLUMBING / SIGN 'RINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICLJ <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: PROPERTY TAX#: 00834000002200 <br /> 7431 3rd Drive W, Everett, WA 98203-4960 <br /> LEGAL for new construction: MCKENZIE HEIGHTS BLK 000 D-00 LOT 22 <br /> CONTACT INFORMATION <br /> OWNER NAME: Aleksandruk, Igor Et Svetlana TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 7431 3rd Drive W <br /> CITY Everett STATE WA ziP 98203-4960 <br /> OWNER PHONE: 425-231-3907 OWNER EMAIL: <br /> CONTRACTOR NAME: All New Again (Attn: Andrew Lomakin) <br /> CONTRACTOR ADDRESS: STREET 15408 Main Street, Suite 103 <br /> CITY Mill Creek STATE WA ZIP 98103 <br /> CONTRACTOR PHONE: 425-345-0142 CONTRACTOR EMAIL: andrew@allnewagain.com <br /> CONTRACTOR LICENSE#(REQUIRED): ALLNENA8847Q CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 051775 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR ❑x OTHER(Please Specify) Engineer <br /> CONTACT NAME: John Mayfield CONTACT PHONE: 425-828-4200 x226 <br /> (Dibble Engineers, Inc.) CONTACT EMAIL: john@dibbleengineers.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Single Family Residence Contract Price of Work: $ $43,129 <br /> Proposed Use of Building: Single Family Residence (no change) Heat Source: E Gas ❑Electric ❑Other <br /> Building Type: ❑xSFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: DNew DAddition DRemodel ❑x Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Repair tree damage to existing single family residence, including replacement of damaged roof trusses, <br /> sheathing, and wall framing, and associated replacement of siding and attached deck. <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 #of 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 information contained herein is true and correct. 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#L6t100 \_,...0 <br /> ouzrttk, <br /> 0 er/Authorized Agent Si nature Date (Revised 10/12/2015) k 1 z <br />