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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� www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 3220 B�08dwey Ave. Ev2�Ett,WA 98201 pROPERTY TAX#: 00439076302200 <br /> LEGAL for new construction: Short PlaUsubdivision Lot No._ (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Cohoe Point LLC TENANT NAME(If Cammercial): <br /> OWNER MAILING ADDRESS: srReer 110-110th Ave.NE Ste.550 <br /> cin B2118vu2 srrTe WA zia 98004 <br /> OWNER PHONE: 425-709-7256 OWNER EMAIL: jfender@acg.com <br /> CONTRACTOR NAME: Wrecking Ball <br /> CONTRACTOR ADDRESS: srReer 3310 Chestnut St. <br /> cirv EV0f2tt srnrE WA ziP 98201 <br /> CONTRACTOR PHONE: 425-328-4076 CONTRACTOR EMAIL: joen@wreckingballdemo.com <br /> CONTRACTOR LICENSE#(REC]UIRED): CC WRECKBD024NU CITY OF EVERETT BUSINESS LICENSE#(RE�UIRED): O33�Z� <br /> PRIMARY CONTACT: �OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-709-7256 <br /> Jeremy Fender <br /> CONTACT eMai�: jfender@acg.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: V8C8nt 4 Plex Contract Price of Work:$ 26,847.52 <br /> Proposed Use of Building: D0m01iti0n Heat Source: ❑Gas �JElectric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex �Multi-Family-tt o(Units: 4 ❑Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler �Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Demolition of vacant 4 plex. <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 /> ��� List of Fixtures #�� List of Fiutures #o/ List of Fixtures �°� Lisf of Fixtures <br /> Fixtures Fixtures Fiztures Fiztures <br /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unil Heater Bathlub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refri eration 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: Ciothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Chemical or Water No.of Heads <br /> ACKNO WLEDGEMENT:/have�eviewed this application and confirm fhe information contained herein is lrue and correct.Work done pursuant to this permit must comply with <br /> cuirent federal,state,and loca/law.The granting of a pemtit only authorizes approved work and no deviations fherefrom.Deviafions must(rst be authorized in writing bom the <br /> Building OKcial be%re being authonzed under any circumstance.1 am the owner,or I am authonzed by the owner of this property to perform the work for which application is made, <br /> and 1 comply with the Stafe Contractois Law 18.D RCW and 296.200A WAC. <br /> City of Everett ONcial Use Only <br /> PERMIT#� � � <br /> � .�(. 4/4/2017 � � � <br /> Owne utho zed Agent Sign ure Date (Revised 9/2 O16J <br /> � I� I�D�" � � `� <br />