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3402 PAINE AVE 2017-06-28
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3402 PAINE AVE 2017-06-28
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Last modified
6/28/2017 2:31:50 PM
Creation date
6/28/2017 2:31:48 PM
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Address Document
Street Name
PAINE AVE
Street Number
3402
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PERMIT APPLICATION <br /> BUILDING / MECHANICAL/ PLUMBING /SIGN / SPRINKLER / 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� wnvw.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 3402 PaIf1G AV2, Everett,WA PROPERTY TAX#: 2gO529O0200400 <br /> LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: PUfJIIC UtIIItY DIStfICt N0. � of Sno. County TENANT NAME(If Commercial): �tl/a� <br /> OWNER MAILING ADDRESS: sTReET PO BOX 1107 <br /> aTv Everett srnTe WA ziP 98206-1107 <br /> OWNER PHONE: 425-7H3-�OOO OWNER EMAIL: c/o Jeff Colon jscolon@snopud.com <br /> CONTRACTOR NAME: P2IIC0 C011StfUCtl011 If1C. C/0 COCIy By@ <br /> CONTRACTOR ADDRESS: srReeT 13036 Beverly Park Rd <br /> CITY Mukilteo STATE WA Z�p 98275 <br /> CONTRACTOR PHONE: 425-265-7211 CONTRACTOR EMAIL: cody@pellcoconstruction.com �� <br /> CONTRACTOR LICENSE#(REQUIRED): PELLCI*038QC CITY OF EVERETT BUSINESS LICENSE#REQUIRED :O37'rJ�� " <br /> ( � <br /> PRIMARY CONTACT: �] OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-783-4327 � <br /> Jeff Colon, P.E. CONTACT EMAIL:�scolon@snopud.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: (n/a -electric substation) Contract Price of Work� $ 1 50 <br /> Proposed Use of Building: (n/8- not a building project) Heat Source: ❑Gas ectric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Replace 55 ft. of chain link fence at an existing electrical substation. <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 #of #of <br /> Fixtures Lisf of Fixtures Fixtures List of Fixfures #°f List of Fixtures List of Fixtures <br /> 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(ServicelBar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Number of Heads <br /> ACKNOWLEDGEMENT I have reviewed this application and confirm the rnformation contained herein is true and cor�ect. Work done pursuant to this permit must comply with <br /> current federal,state,and local law. The granting of a permit only authorizes app�oved work and no deviations therefrom.Devia�ions must first be authorized in writing f�om the <br /> Building Official before being authorized under any circumstar,ce. l am the owner,or I am authorized by the owne�of this pioperty 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 /> ' P E f�Til l # � <br /> � �'C__-- ���-� z��� � 0�0 � _-� � � <br /> OwnerlAuthorized Agen ign Date (Revised 9/23/2016) � <br /> � �����v �� <br /> � <br />
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