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PERMIT APPLICATION <br /> BUILDIN MECHANICAL / PLUMBING 1 SIGN PRINKLER / DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET..EVERETT,WA 98201 <br /> OL (P)425-257-8810 1 FAX 425-257-8857 �(E)everettepsrd)everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 6 018 Manor P 1 PROPERTY TAX#: 00413100001100 <br /> LEGAL for new construction: Short Plat subdivision COUnt ry Club AddLot No.11 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Frank Ha 1 f erty TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 6 018 Manor PL <br /> CrTY Everett STATE WA zip 98203 <br /> OWNER PHONE: 206-234-6844 OWNER EMAIL: f j h_mah@peak. org <br /> CONTRACTOR NAME: & - j�ow CD! rt�V3kat�� <br /> CONTRACTOR ADDRESS: S - <br /> TkE i 6.5 Sf�o �h C <br /> CONTRACTOR PHONE: "L22.� a�3S CONTRACTOR EMAIL: bq� ( <br /> CONTRACTOR LICENSE#(REQUIRED): ptk1C 10464 8S ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ®OWNER ❑ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: Frank Half e rty CONTACT PHONE: 2 0 6-2 3 4-6 8 4 4 <br /> CONTACT EMAIL: f j h mah peak . org <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: lContract Price of Work: $_Z►6 OOd <br /> Proposed Use of Building: Shop I Heat Source: []Gas ❑Electric ®Other Shop <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 ❑S rinkler ❑Demolition ❑Chane of Use <br /> DESCRIPTION OF WORK: <br /> Add a new 366 sq. ft . detached shop behind the garage . <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 /> Rance Hood Water Heater Other. <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER I 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/am authorized by the owner of this property to perform the work for which application is made. <br /> and I con ly kvith the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT-f-, <br /> Z0 <br /> Owner/Authorized Agent Sign tuiT Date (Revised 10/12/2015) \I <br />