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PERMIT APPLICATION <br /> '111P44. --4 <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 Slack Ink Only'Plealse) PROJEGT,S1TE•INFORMATION: <br /> PROJECT SITE ADDRESS: 1505 Wetmore Ave PROPERTY TAX#: O( 1533 Kw 300 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> "CONTACT INFORMATION <br /> OWNER NAME: James Novak TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 1505 Wetmore Ave <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 4255 259 3028 OWNER EMAIL: <br /> CONTRACTOR NAME: Builder's Choice Home Improvement Inc. <br /> CONTRACTOR ADDRESS: STREET 9803 39th Dr NE <br /> CITY Marysville STATE WA ZIP 98270 <br /> CONTRACTOR PHONE: 425 344 1568 CONTRACTOR EMAIL: neilbchi@ amail.com <br /> CONTRACTOR LICENSE#(REQUIRED): BuiIdch922N 1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):afread <br /> PRIMARY CONTACT: ❑OWNER IV/CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: 'CONTACT PHONE: 425 344 1568 <br /> Neil Green CONTACT EMAIL: neilbchi@gmail.com <br /> BUIL©ING,`.PERMIT APPLICATION <br /> Existing Use of Building: Residential Contract Price of Work:$ $30,000.00 <br /> Proposed Use of Building: Residential Heat Source: eiGas ❑Electric ❑Other <br /> Building Type: OSFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair DTI. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Adding elevated walkway to rear of property, constructing covered pergola at rear, new plumbing fixtures <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION', PLUMBING PERMIT APPLICATION <br /> Type of Project: New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #°f List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> NC—Air Handling Units Heat Pump 1 Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler 1 Lavatory(Wash Basin) Drinking Fountain <br /> 1 Water Heater Refrigeration 1 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 /> 1 Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER,/SUPPRESSION SYSTEM <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.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 State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# 7 <br /> Owner/Au orized Agent Signature Date (Revised 9/23/2016) <br />