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PERMIT APPLICATIC .. <br />BUILDINrIECHANICAL / PLUMBING / SIGFh UPRINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everethNa.gov/permits <br />(Blue or'Blacklnk Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: 615 80th st SW <br />PROPERTY TAX #: 004123000005500 <br />LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: WILLIAM1" (lj TENANT NAME (If Commercial): <br />OWNER MAILING ADDRESS: STREET 615 80TH ST SW/tJ� $ <br />ciTr EVERETT STATE WA zip 98203 <br />OWNER PHONE: 425-438-9048 <br />1OWNER EMAIL: bill@pocock.com <br />CONTRACTOR NAME: SUPERSTRUCTURES BLDG SYSTEMS <br />CONTRACTOR ADDRESS: STREET 2221 EVERETT AVE <br />car EVERETT STATE WA zip 98201 <br />CONTRACTOR PHONE: 206-786-0198 <br />1CONTRACTOR EMAIL: jimarmstrong@superstructuresinc.com <br />CONTRACTOR LICENSE #(REQUIRED): OSUSPEBS859PT <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ZI OTHER (Please Specify) architect <br />CONTACT NAME: C*4o( f a(MO- � <br />N ED NELSON - [ M0 <br />CONTACT PHONE: 425.444.6782 2a(o= [9j(Q —0 <br />CONTACT EMAIL: nednelson@msn.com <br />BUILDINGPERMIT APPLICATION <br />Existing Use of Building: boat building Contract Price of Work: S 535 000.00 <br />Proposed Use of Building: boat building I Heat Source: V]Gas []Electric ❑Other <br />Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi -Family-# of Units: ❑Commercial 41ndustrial <br />T e of Project: ❑New OAddition ❑Remodel ❑Re air ❑T.I. ❑Sin []Sprinkler ❑Demolition ❑Chan a of Use <br />DESCRIPTION OF WORK: _ <br />10,980 sf one story addition to existing 12,00P sf boat �Vilding structure on existing concrete pad, and existing paved/ gravel yard surfaces. <br />ASSOCIATED BUILDING PERMIT # if applicable): <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New ,_ Addn Alteration _Repair <br />Type of Project: _New ,Addn _Alteration _Repair <br /># of <br />Fixtures <br />List of Fixtures <br /># of <br />Fixtures <br />List of Fixtures <br /># of <br />Fixtures I <br />List of Fixtures <br /># of <br />Fixtures <br />List of Fixtures <br />A/C — Air Handling Units <br />Heat Pump <br />Toilet <br />Backflow Preventer Inside Bldg) <br />Forced Air Systems <br />Unit Heater <br />Bathtub <br />Urinal <br />Gas Piping <br />Boiler <br />Lavatory Wash Basin <br />D rinking Fountain <br />Water Heater <br />Refrigeration <br />Shower <br />Floor Drain <br />Gas Fireplace <br />Wood Stove <br />Kitchen Sink & Disposal <br />Grease Trap <br />Gas Range <br />Ducting <br />Dishwasher <br />Roof Drains <br />Clothes Dryer Hookups <br />Other: <br />Clothes Washer <br />Medical Gas <br />Range Hood <br />Water Heater <br />Other: <br />Exhaust Fan <br />Sink (Service/Bar/Mop/etc.) <br />Other: <br />SPRINKLER <br />/ SUPPRESSION <br />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 it only authorizes approved work and no deviations therefrom. Deviations must first be authorized in writing from the <br />Building Official before being a horized under an ums a. I am the owner, or / am authorized by the owner of this property to perform the work for which application is made, <br />and I comply with the S a(e rertp,wtpw 10.17 96 2WAWAC. <br />City of Everett Official Use Only <br />PERMIT # <br />ite I (Revised 9, 2"016) <br />DH <br />