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III' I PERMIT APPLICAI I <br /> BUIL©I IECHANICAL/PLUMBING I SIGN I SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERIvirr SERVICES. <br /> ' j 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov J www.everettwa.gov/permits <br /> (Blue In <br /> e er Black k Only Please) <br /> ss s' INFORMATION <br /> ECT # ADDRESS;920: HoytAveAVO ROPER Y TAX 3 00 54 7YV 1✓V <br /> LEGAL for new construction: Short Platisubdivisl lcici cbF Lot No. (attach copy of long legal description) <br /> C µ CT INFORMATION <br /> OWNER NAME: Judy Pascale &David dames TENANT NAME(If Commercial): <br /> MIE :N�Amos: SALT g20 vi4yt-Ave <br /> cats Everett STATE WA zp 98201 <br /> OWNER PHONE: 4253466568 OWNER EM .'.. djr £Orn£ast.net <br /> CONTRACTOR NAME: Craig West C `? cr c1CJ‘c A. <br /> CONTRACTOR ADDRESS: STREET 07 45th Ave NE <br /> C Y t 8t {S 1h STATE WA z 98211 <br /> 1:4°N <br /> TRACTOR PHONE: 4252383266CONTRACTOR EMAIL: C.WestCofStrUCtion c>ZZ frontier.COrrl (-----ThTRACTOR LICENSE#(REQUIRED): CWESTC*055J5CITY OF EVERETT BUSINESS LICENSE#(REQUI ):54106 <br /> MARY CONTACT: IJ OWNER 'CONTRACTOR D OTHER(Please Specify) <br /> T AMIE: TACT�E:4252383-2a <br /> Craig West CONTACT EMAIL: c.westcon r.r01Tf4', tier.com <br /> BUILDING PERMIT APPLICATI 0 f <br /> (Lk <br /> Existing Use of Building:Single family residence Contract Price of 4 :$ <br /> Proposed Use of Building:sinole family residence Heat Source: $Ga ■Electri her <br /> -Building Type: .SFRDetached .SFR-Attached lJDuplex fM iulti-Far�ily4 of Units: DCommeroial flindustriai <br /> Type of Project: CINew DAddition 2Rerodel E#Repair DT.I. ❑Sign (Sprinkler ClDemolition EIChange of Use <br /> -DESCRIPTION OF WORK: <br /> interior remodel of kitchen within existing kitchen footprint, no walls are changing. <br /> ASSOCIATED:SUILD1ttG:PERMiT ft:lf:apsticatke): <br /> MECHANICAL PERMIT APPLICATION 1I PLUMBING PERMIT APPLICATION <br /> Type of Project: New Addn Alteration _Repair Type of Project: _New Addn _Alteration _Repair <br /> Ft> ries List of Fixtures F of List of Fixtures F of List of Fixtures Fixtures List of Fixtures <br /> ixtuA/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air.Systems ;Unit Heater. 'Bathtub Urinal <br /> ;Gas-Pt-Mg1• <br /> Boiler <br /> t tLav y(Wash Basin) ;rlttklrsr Fountain <br /> WaterHeater Refrigeration -Shower Floor Drain <br /> Gas Fireplace Wood Stove l Kitchen Sink #3ispasat Grease Trap <br /> Gas Range Ducting I Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> 1 Range Hood Water Heater Other: <br /> I Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> 'Chemical or Water I No.of Heads <br /> ACKNOWLEDGEMENT.:f 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 l am authorized by the owner of this property to perform the work for which application is made, <br /> and t comply with the State Contractors Law 18.27 RCW and 298.200A WAC. <br /> City of Everett Official Use Only <br /> / PE MI # <br /> g"/z‘/1i� t % — (n( <br /> 0,4;A 'i•ri ed Agent Signature Date (Revi ed 9 3/2016) <br />