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PERMIT APPLICATI <br /> BUILDING /MECHANICAL/PLUMBING /SIGN /SPRINKLER/DEMOLITION <br /> 44110H-_j 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 www.everettwa.gov/permits <br /> (B ue:_or Black Ii (1lyPlea ) E"C `SIT INl RMATION , <br /> PROJECT SITE ADDRESS: 8 2 4 WEST CASINO ROAD ` D #�1 PROPERTY TAX#: 00392100000700 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. / (attach copy of long legal description) <br /> gtigiti. .... , ONT#CT INFORMATION <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 /> CITY BELLEVUE STATE WA ZIP 98004 <br /> CONTRACTOR PHONE: 425-681-6894 CONTRACTOR EMAIL: rochjimms@comcast.net <br /> CONTRACTOR LICENSE#(REQUIRED): ROCHLCS 8 9 IPP 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: t1ombardi@basisarch.corn <br /> Existing Use of Building: UTILITY ROOM//frnir/VO4/73 Contract Price of Work:$_ 0 0 <br /> Proposed Use of Building: ADDITIONAL BEDROOM/98 Heat Source: IZIGas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ODuplex 'Multi-Family-#of Units: Lo ®Commercial ❑Industrial <br /> Type of Project: ONew ❑Addition CI Remodel ❑Repair ❑T.I. ❑Sign ❑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 FORRESIDENTIAL USE. <br /> *PLAN CHECKER NOTE: ALL UNITS ARE EQUIPPED WITH IN-UNIT LAUNDRY. ttwL SI eoNohs A Iv'o lyth4 <br /> ASSOCIATED BUILDING PERMIT#(if applicable): wit P-F I/o'} 3, P'lT-' <br /> MECHANIC PERMW A10041ION ft010 BIN 1 !E MIT APDL CAT O+1.,,, <br /> Type of Project: New Addn _Alteration _Repair Type of Project: _New Addn -_Alteration _Repair <br /> Fixtures List of Fixtures Figures List of Fixtures Fi u List of Fixtures FixturesListof 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 /> Chemical or Water ( 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.lam 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 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> - '4140 0/8/7 i (4-702 033 (1-,il <br /> Owner •uthori - -lit Signature Date (Revised 9/23/2016) ] <br />