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PERMIT APPLICATION <br /> BUILDING I 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 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> (Biline"fir?Black i n1 O(nly:Ple e) PR E T,SITE INFORMATIOII : , <br /> PROJECT SITE ADDRESS: 824 WEST CASINO ROAD (131 Del 4V 13) PROPERTY TAX#: 00392100000700 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTAtT NNFORMATIION <br /> OWNER NAME: TENANT NAME(If Commercial):CASINO-WESTMONT AFFORDABLE <br /> OWNER MAILING ADDRESS: STREET 2223 112TH AVE. NE, SUITE 102 HOUSING PARTNERS, LLLP <br /> my BELLEVUE STATE WA ZIP 98004 <br /> OWNER PHONE 425-454-8205 OWNER EMAIL: COREY BALDWIN <br /> CONTRACTOR NAME: SRI-ROCHLIN CONSTRUCTION SERVICES JV, LLC <br /> CONTRACTOR ADDRESS: STREET 2223 112TH AVE. NE, SUITE 102 <br /> crry BELLEVUE STATE WA ZIP 98004 <br /> CONTRACTOR PHONE: 425-681-6894 CONTRACTOR EMAIL: rochjimms@comcast.net <br /> CONTRACTOR LICENSE#(REQUIRED): ROCHLC S 8 9 I PP CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 415-578-5562 <br /> TESSA LOMBARDI <br /> CONTACT EMAIL: t 1 ombardi @bas i sarch.corn <br /> Existing Use of Building: UTILITY ROOM /}P/4.rw cs Contract Price of Work:$ V i(0/ /g® <br /> Proposed Use of Building: ADDITIONAL EDROOM/ glTril Heat Source: ®Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached CIuplex i1ulti-Family-#of Units: {0 ®Commercial ❑Industrial <br /> Type of Project: :New ❑Addition ❑Remodel ['Repair CIT.!. ['Sign ❑Sprinkler ❑Demolition ®Change of Use <br /> DESCRIPTION OF WORK: nn <br /> CONVERT UTILITY ROOM(COMMUNITY LAUNDRY ROOM)TO ADDITIONAL BEDROOM AT _ `t" UNITS. REMOVE WATER HEATER, INSTALL <br /> BASEBOARD HEATING, INFILL EXTERIOR DOOR AND PROVIDE (N) INTERIOR ACCESS. REPLACE FINISHES FOR RESIDENTIAL USE. I <br /> *PLAN CHECKER NOTE: ALL UNITS ARE EQUIPPED WITH IN-UNIT LAUNDRY. E.xmit—W(L Kg-5+0046 f IJQ ui i 1J°QwV <br /> ASSOCIATED BUILDING PERMIT#(if applicable): gg'PL&icA; 4 CJ f-0.4.- (21044/of-ttiJr-- <br /> Al1ECHAIoC10P'EN21f1'AIT APPLICATION ' PL UMBIN G i ERMIT APPUtrAATION,i. <br /> Type of Project: _New Addn _Alteration _Repair Type of Project: _New ,__Addn _Alteration Repair <br /> #of List of Fixtures List of <br /> Fixtures Fixtures List of Fixtures Fixtures List of FixturesFitu es List of Fixtures <br /> A/C-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <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 /> $P#4NKI.E./ UPPIj)E 40f#3YSTIl. m <br /> Chemical or Water I No.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.I 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 witlj, +e State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> '!,III, . <br /> , PERMIT# <br /> 0Z e /� 13 r'70 V e2.)-1Owner/Authorized Agent Signature Date (Revised 9/23/2016) (11,,X?.,::/) <br />