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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 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or,Bla khiktOnlly=Please) Ts,. PROJECT SITE INFORMATION _, r <br /> PROJECT SITE ADDRESS: 3230 Norton Ave PROPERTY TAX#: 00437577201700 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATIOI 1 <br /> OWNER NAME: Housing Hope TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 5830 Evergreen Way <br /> ow Everett STATE WA ZIP 98203 <br /> OWNER PHONE: 425-347-6556 OWNER EMAIL: toddbullock@housinghope.org <br /> CONTRACTOR NAME: To Be Determined j '�Q�l C <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: Q f <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):b44 1(.D " <br /> PRIMARY CONTACT: El OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-347-6556 <br /> Todd Bullock <br /> CONTACT EMAIL: toddbullock@housinghope.org <br /> BUILDING PERMIT A1PPLICATION _., . _ n <br /> Existing Use of Building: Multi-family Contract Price of Work:$ 14,340.00 <br /> Proposed Use of Building: Multi-family Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached KI Duplex ❑Multi-Family-#of Units: ❑Commercial 0 Industrial <br /> Type of Project: ONew ❑Addition ®Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ®Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Remodel kitchens including adding range hoods and dishwashers;replace tubs,showers,and vanities in the bathrooms;decommission <br /> clothes washers and dryers and convert existing laundry room into living space;and replace siding. <br /> �a�Q CA[w (� /� (� <br /> ASSOCIATED BUILDING PERMIT#(if applicable): ? �W Vi01-V0\ *01 i201-j C, <br /> MECHANICAL. PERMIT APPLICATION PLUMBING PERMIT APPLICATION t , . ,,,'S„, <br /> Type of Project: _New _ Addn X Alteration _Repair Type of Project: _New _Addn X 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 2 Bathtub Urinal <br /> Gas Piping Boiler 2 Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration 2 Shower Floor Drain <br /> Gas Fireplace Wood Stove 2 Kitchen Sink&Disposal Grease Trap <br /> Gas Range 3 Ducting 2 Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> 2 Range Hood Water Heater Other: <br /> 1 Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINIL.LER/`SUPPRESSION SY::STEM <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 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 with the State Contractors Law 18.27 RCW and 296. W TI I <br /> City of Everett Official Use Only <br /> Aimt expA oAte _ RMIT# <br /> wner/Authorized Agent Signature Date (Revised 5/20/2016) <br />