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PERMIT APPLICATION <br /> BUILDINGIII IECHANICAL 1 PLUMBING I 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 /> (Blue±0kBiack Ink:Onty PleaseI PROJECT S;II' EINFORMATIOpt,. <br /> PROJECT SITE ADDRESS: 82 4 WEST CASINO ROAD 1306, E) PROPERTY TAX#: 00392100000700 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT IN 0:01,0TI©N <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 /> CITY 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 /> cn-y BELLEVUE STATE WA ZIP 98004 <br /> CONTRACTOR PHONE: 425-681-6894 CONTRACTOR EMAIL: rochjimms@comcast .net <br /> CONTRACTOR LICENSE#(REQUIRED): ROCHLCS89 I PP CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 415-578-5562 <br /> TESSA LOMBARDI <br /> CONTACT EMAIL: tlombardi@basisarch.corn <br /> Existing Use of Building: UTILITY ROOM/f3r�2J1r5 Contract Price of Work:$,1 _ a <br /> qu <br /> Proposed Use of Building: ADDITIONAL EDROOM 4,r Heat Source: ®Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached uplex (Multi-Family-#of Units: t'0 -a Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. OSign ❑Sprinkler ❑Demolition ®Change of Use <br /> DESCRIPTION OF WORK: <br /> CONVERT UTILITY ROOM(COMMUNITY LAUNDRY ROOM)TO ADDITIONAL BEDROOM AT _ ' UNITS. REMOVE WATER HEATER, INSTALL <br /> BASEBOARD HEATING, INFILL EXTERIOR DOOR AND PROVIDE (N) INTERIOR ACCESS. REPLACE FINISHES FOR RESIDENTIAL USE. <br /> *PLAN CHECKER NOTE: ALL UNITS ARE EQUIPPED WITH IN-UNIT LAUNDRY. E.. rEL1O&. e ti.-St 011k)G AIALO WIWoVJ <br /> ASSOCIATED BUILDING PERMIT#(if applicable): 12. (PL/trxv"11, GGEPERAti- (L AcZ i(A7 i i r <br /> MECHANICAIL PERMIT APPICATIOti PI,U `BIN t PERMIT APPLCATION <br /> Type of Project: _New T Addn _Alteration _Repair Type of Project: _New _Addn Alteration _Repair <br /> #of <br /> Fixtures List of Fixtures Fixtures List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures 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 FanSink(Service/Bar/Mop/etc.) Other: <br /> SARINKKLER/SUPPRESSIII N SYSTEM <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 with the .tate Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> (07 ''' ' (-1 0,2 -, oA-7 <br /> Owner/•t11Mrized Agent Signature ate (Revised 9/23/2016) A <br /> s � ' <br /> ( 71 <br />