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PERMIT APPLICATION <br /> BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,�/1/A 98201 <br /> (P)425-257-5810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� wuvw.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 9 01 E Marine View Dr, # 2 0 7 PROPERTY TAX#:00864700220700 (Parcel#) <br /> LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: K@VICI La11E TENANT NAME(If Commerciai): <br /> OWNER MAILING ADDRESS: srReeT 11338 33rd PL N E <br /> �,n Lake Stevens STATE WA Z�P 98258 <br /> owNeR PHONe: 425-231-5452 OWNER EMAIL: B19gBUIIO7 p�Gtllall.COCY1 <br /> CONTRACTOR NAME: OlyfllplC M@CI1a111CaI, �C1C. <br /> CONTRACTOR ADDRESS: srReer 21718 66th Ave W, SUIt@ 2�7 <br /> �,n Mountlake Terrace STATE �NA Z�P 98043 <br /> coNrwacTOR PHONe: 425-344-9140 (Ceil) coNTRacroR eMAi�: Steve@OlympicMechanical.001'Tl <br /> CONTRACTOR LICENSE#(REqUIRED): OLYMPMI17001 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 019260 <br /> PRIMARY CONTACT: O OWNER l81 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-3[�4.-9�4.Q C@�� <br /> Steve Elder CONTACT EMAIL: St@V@ OI mpicMechanical.com <br /> BUILDING PERMIT APPLICATION <br /> Existin Use of Buildin : Contract Price of Work:; � <br /> Pro osed Use of Buildin : jrteai�ourcP� ❑Gas ❑Electric ❑Other <br /> Buildin T pe: ❑SFR-Detached nS!"�-i�ttached ❑Duplex ❑Multi-Family-#of Units: nGommercial ❑Industrial <br /> Type of?ro���i: �JNew ❑Addition ❑Remodel ❑Re air ❑T.I. ❑Si n ❑S rinkler ❑Demolition ❑Chan e of Use <br /> DESCRIPTION OF WORK: <br /> "Like for Like" Replacement of Existing Failed Home Gas Fired Furnace <br /> w�cnn�e�ren�v��`n:6:�Dco1111IT if/�f Mnnli�Mhlcl� <br /> MYJ V V II`1��v <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: ":�:•r .^.�dn .^.!*„ntB�r. X Repair Type of P�oJect: New Addn Alteration Repair <br /> #of List of Fixtures #of List of Fixtures #of :ist of Fixtures #of List of F;xtures <br /> Fixtures Fixtures Fiufures Fixtures <br /> A/C—Air Handlin Units Heat Pump Toilet Backflow Preventer(Inside Bld <br /> � Forced Air S stems Unit Heater Bathtub Urina! <br /> Gas Piping Boiler Lavato (Wash Basin) �rinkin Fountain <br /> Water Heater Refri eration Shower Floor Drain <br /> Gas Fire lace Wood Stove Kitchen Sink&Dis osal Grease Trap � �� <br /> Gas Ran e Ductin Dishwasher Roof Drains <br /> Clathes Dryer Hooku s Other: Clothes Washer Meo�;.al Gas <br /> Ran e Hood Water Heater Other: <br /> Exhaust Fan Sink(Ser;ice/Bar/Mop/etc. Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Chemical or Water No.of Heads <br /> ACKNOWLEDGEMENT.!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,an�t cal law. The granting o(a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official before bei g authorized r any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for whrch application is made, <br /> and I comply with the St e Contractor5 La 18.27 RCW and 296.200A WAC. <br /> 1 � /� � � City of Everett Official Use Only <br /> �s �� P R IT <br /> , -/ � �. ��O � — c� <br /> ner/A t riz, A ' nature Date (Revised 9/23/2016) <br />