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PERMIT APPLICATION <br /> BUILD�/ MECHANIC�►L / PLUMBING /SIC�SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SER�rLES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:294� CF12StCl llt e �fi PROPERTY TAX#: Z9O'rJ29OO�O�7OO <br /> LEGAL for new construction: 5hort PlaUsubdivision Lot No. (attach copy of Iong legal description) <br /> CONTACT INFORMATION <br /> owNeR NAME: The riversife Lofts LLC TENANT NAME(If Commercial): DIVeCSlfed NOI'fflW2St, �f1C <br /> OWNER MAILING ADDRESS: s�ueeT 1806 Marine drive NE <br /> �R„Marysville STATE W/'1 ZIP <br /> OWNER PHONE: MarK ReICIIIIrI OWNER EMAIL: 1'►1afkf@W2S-COIIStfUCtIOf1.COR1 <br /> CONTRACTOR NAME:AI'I( CUSt0171 BUIIdIC1gS, Inc. Bob Fletcher <br /> CONTRACTOR ADDRESS: srReer P.O. Box 1827 <br /> cm' Ma SVI��e srare WA ziP 98270 <br /> CONTRACTOR PHONE: 360-652-4�37 CONTRACTOR EMAIL:CaI�eC'bUlIC�2C' mail.com �� � b <br /> coNTRacroR�iceNse#�REQu�REo�: ARKCUB 1991 J 1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): !�'�1�t� <br /> PRIMARY CONTACT: � OWNER ❑ CONTRACTOR ❑ OTHER(Please Specify) ,2A �•�-�'1,�,;�:<<4<�,', <br /> CONTACT NAME: CONTACT PHONE:�B���Q=Z54S� �a�� �f�v'��S 3 �,�1 i�i Pc�/lW • M <br /> _ s <br /> �r�S_REl6r1�I� - _ �"\� � '�''��'if'` CONTACT EMAIL:��ppeS�OIlS�1��t@f�`�:6fl9m 'odC`,� n <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Sh0 Contract Price of Work:$8275.00 <br /> Proposed Use of Building:shop Heat Source: ❑Gas ❑Electric f[70ther <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial �Industrial <br /> Type of Project: ❑New lC7Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> extend buildin 12 feetC �� � - e���� d�; <br /> g <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/BarlMop/etc.) 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 O�cial before being authorized under any circumstance.l 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 Siate Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> - �f �� �E� �''� 1X� I � >�I � � <br /> r t orized n Signature D te (Revised 9/23/2016) 1 <br /> � � <br /> ��_ - <br />