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0 PERMIT APPLICATION • <br /> BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> T 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 3709 Federal Ave Everett Wa 98201 PROPERTY TAX#: 00605000300400 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: B&B Home Renovation and ConstructionTLk AIT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 23614 112th PL W <br /> CITY Woodwa STATE WA zip 98020 <br /> OWNER PHONE: 206-979-0493 OWNER EMAIL: bobburtonl77@gmall.com <br /> CONTRACTOR NANIE: B&B Home Renovation and Construction LLC <br /> CONTRACTOR ADDRESS: STREET 23614 112th PL W <br /> CITY WoodwaV STATE WA ZIP 98020 <br /> CONTRACTOR PHONE: 206-979-0493 CONTRACTOR EMAIL: bobburton177 mail.com <br /> CONTRACTOR LICENSE#(REQUIRED): BBHOMHR843L3 ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED):056398 <br /> PRIMARY CONTACT: EXOWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-979-0493 <br /> Bob Burton CONTACT EMAIL: bobburton 1 77@g mail.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: SFR Contract Price of Work:$ 10,000 <br /> Proposed Use of Building: SER Heat Source: E313as ❑Electric ❑Other <br /> Building Type: E)�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 /> Repair concrete retaining wall and drivable surface. <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 I SUPPRESSION SYSTEM <br /> Chemical or Water No.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 l 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 1827 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> l/ <br /> 2- <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />