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PERMIT APPLICATI <br /> BUILDIN--�VIECHANICAL/ PLUMBING /SIG�PRINKLER/ 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 orKtiBlack$�nk�Qnly.Please).y• .'� ���PFfOJ�C=�'�S�TE ��IF0��IAATION��.: }� �- '"�,�„;t€r. �x <br /> _ ,. , � _ _ .... �_ , . , � 280507002. ��,.. <br /> 03700,00394000008600, <br /> PROJECT SITE ADDRESS: 7207 Ever reen Wa Suite G PROPERTY TAX#:00394000008700 <br /> LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br /> - ,��'�� � ` ���.�'� COI�TAGT 1N�ORMATIOh1 �,� � - ' ��� . <br /> � ��; � <br /> �. <br /> OWNER NAME: Alex Kim TENANT NAME(If Commercial): Casa De Oracion <br /> OWNER MAILING ADDRESS: srReer 5015 Dover St. <br /> �in Everett STATE WA ZiP 98203 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME, Owner <br /> CONTRACTOR ADDRESS: srReeT <br /> CITY S7ATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑OWNER ❑ CONTRACTOR L34 OTHER(Please Specify) Architect <br /> CONTACT NAME: CONTACT PHONE: (425)252-2153 <br /> 2812 architecture-Adam Clark CONTACT EMAIL: adam@2812arc ' . om <br /> � t��� �� � .. � ;.�.. �, � <br /> '� ��,< �.�; ; B�lI4DING PERM�IT 4#PP�:ICATIO�1 � ��6. '� � ..��i � ! s �„1 , <br /> Existing Use of Building: Church Contract Price of rk:$ 3 000.00 <br /> Proposed Use of Building: Church Heat Source: ❑ as ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Un ts: �Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair �T.I. ❑Sign �Sprink Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Updating exits to comply with current code. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> NIECHANICAL,;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 #°f List of Fixfures <br /> Fixtures Fixtures Fixtures Fixfures <br /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bidg) <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 /> 3PRINKLER/,SUPPRESSION SYSTEM`' <br /> Number of Heads <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correcf.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.1 am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply ith the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> i � <br /> ; - � P ITW � �O ` " v1 <br /> Owner/Authorized Agent Signature Date (Revised 5/20/2016) <br />