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� r�rcnna i Hrruc.A�iVN� <br /> BUILDING 1 MECHANICAI./ PLUMBING 1 SIGN I SPRINKLER 1 DEMOLITION <br /> CITY OF EV�RETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 982�1 <br /> (P}425-257-8810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� www.everethva.go�/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ApDRESS: PROPERTY TAX#: qfl567900400500 <br /> 2321 HILLSIDE LANE EVERETT WA 98204 <br /> LEGAL for new construction: Short PlaUsubdivision Lot No. {attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: HUGGINS CORNELL G&LOLITA li TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: srReer SAME AS PROJECT SITE ADDRESS <br /> ��T�' STATE ZIP <br /> OWNER PHQNE: 425 314 3058 OWNER EMAIL: lolly.huggi�s@3ds_com <br /> CONTRACTOR NAME: TB� �I S C� �-�"i/'�,{ � U - <br /> CONTRACTOR ADDRESS: srReeT � �y- ��" �d� �j y�J <br /> C� � � � STATE � � ZIP I�� <br /> CONTRACTOR PHONE: 'LQ(Q� 4 3�' (p CONTRACTOR EMAIL: <br /> CON7i2ACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED�: <br /> PRIMARY CONTACT: ❑OWNER ❑CON7RACTOR �OTHER{Please 5pecify) ARCHITECT <br /> CONTACT NAME: MICHELLE LINDEN CON7ACT PHONE: 206.395.4392 <br /> CONTACT EIIAAIL: MICHELLE@ATELIERDROME.COM <br /> BUlLDING PERMIT APPLICATION <br /> Existing Use of Buildin : RESIDENTIAL Contract Price of Worlc:$ $450o" � C�' <br /> Proposed Use of Buifding: RESIDENTIAL Heat Source: ❑Gas ❑Electric ❑Other <br /> Buildin T e: �SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Famil -#of Units: ❑Commercial ❑Industrial <br /> T pe of Pro'ect: ❑New OAddition �Remodel �Repair ❑T.I. �Si n ❑S rinkler ❑Demolition ❑Chan e of Use <br /> DESCFtIPTION OF WORK: <br /> ADD A ROOF CANOPY OVER EXISTING FRONT ENTRANCE(NO CHANGE TO <br /> WALLS(�R CONDlTIONED SPACE).ft����;Mt3-Ej(iC-hiE}-R�AR-p�C1�;-,�e�,,��,� ��Z��� <br /> ASSOCIATED BUlLDING PERMIT#(if a licable . <br /> MECHANICAL PERMIT APPI.ICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New Addn _Alteration _Repafr Type of Project: New Addn „Aiteration „Repair <br /> Fixtu es ��st of Fixfures Fixtures List of Fixtures Fixtu es �ist of FJxfures Fj�u es List of Fixiures <br /> A/C-Air Handlin Units Weat Pump Toilet Backflow Preventer Inside Bld <br /> Forced Air S stems Unit Heater Bathtub Urinal <br /> Gas Pipin Boiler Lavato (Wash Basin) Drinkin Fountain <br /> Water Heater Refri eration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Dis osal Grease Tra <br /> Gas Ran e Ductin Dishwasher Roof Drains <br /> Clothes D er Hookups Other: Clothes Washer Medical Gas <br /> Range iiood Water Heater Other: <br /> Exhausf Fan Sink(ServicelBarlMopletc.) Other: <br /> SPRINKLER/SUPPRE$SION SYSTEM <br /> Number of Heads <br /> AGKNOWLEDGEMENT:1 have�viewed this applicalion and contrrm the in/ormation confained he�in rs true and co��2ct.Work done pursuant to this permit must comply with <br /> current federal,sfate,and locallaw. The granting of a permit only authorizes approved work and no davialions therefiom.Devralrons must firsl be authorized in wnting fram the <br /> Buifdrng OHicra!be% 'g authonze under arty ci�umstance.!am the owner,or!am authorized by fhe owner o(this property to perform the woric for which application is made. <br /> and 1 comply wifh th State Con ctors L w i8.27 RCW and 296.200A WAC. <br /> City of Everetl Officia!Use Only <br /> PERMIT# <br /> Sf Za �2o fd <br /> OwnerlAuthorized Agent Signature Date (Revised 10/1217015 <br /> ��-�-� <br />