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477 PERMIT APPLICATIOI <br /> BUILDING; MECHANICAL I PLUMBING/SIGN/LTRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:7207 Upper Ridge Road Everett WA PROPERTY TAX#:00392000004902 <br /> 98203 <br /> LEGAL for new construction: Short Plat/subdivision 1202-2010-005 Lot No.2 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME(If Commercial): <br /> Dynasty Holdings LLC <br /> OWNER MAILING ADDRESS: STREET PO BO 716 <br /> circ Everett STATE WA ZIP 98206 <br /> OWNER PHONE:425-268-9456 'OWNER EMAIL: dynastyhomesincRgmail.com <br /> CONTRACTOR NAME Jeff Gray <br /> CONTRACTOR ADDRESS: STREET PO Box 716 <br /> CITY Everett STATE WA ZIP 98206 <br /> CONTRACTOR PHONE:425-268-9456 CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#dynashi941 B 5 'CITY OF EVERETT BUSINESS LICENSE# <br /> PRIMARY CONTACT: ❑OWNER CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: Dana Hendry CONTACT PHONE:425-268-9456 <br /> CONTACT EMAIL: dana.hendryf hotmail.com <br /> BUILDING PER IT APPLICATION <br /> Existing Use of Building: SFH Contract Price of)Nork:$ <br /> Proposed Use of Building: SFH Heat Source: LIGas El Electric ❑Other <br /> Building Type: EISFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ❑New DAddition El Remodel El Repair DT.I. ❑Sign ❑Sprinkler ID Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: 2200 sq ft single family new construction home <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBBB!NG PERMIT APPLICATION <br /> Type of Project: ..,) New Addn Alteration Repair Type of Project: New Addn _Alteration Repair <br /> #of <br /> Fixtures List of Fixtures of# List of Fixtures Fixtures List of Fixtures _ Fixtures List of Fixtures <br /> A/C—Air Handling Units 1 Heat Pump 3 Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater 2 Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration 2 Shower Floor Drain <br /> 1 Gas Fireplace Wood Stove i Kitchen Sink&Disposal Grease Trap <br /> 1 Gas Range Ducting 1 Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: 1 Clothes Washer Medical Gas <br /> 1 Range Hood 1 Water Heater Other: <br /> Exhaust Fan 6 Sink(Service/Bar/Mopietc.) 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 RCWand 296.200A WAC. <br />