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grr PERMIT APPLICATIOm <br /> BUILDING/MECHANICAL/PLUMBING/SIGN I SPRINKLER I 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 I www.everettwa.gov/permits <br /> `(Bulla it iB l Ink ily ) , V, PROJECT ITE II;NFOR 11 ATION,. <br /> PROJECT SITE ADDRESS: 7903 Beverly Road, Everett PROPERTY TAX#: 00393900201400 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER NAME: Beverly Boulevard Properties LLC TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 12328 Woods Creek Road <br /> cm, Monroe STATE WA zip 98272 <br /> OWNER PHONE: 425-232-5288 OWNER EMAIL: thunderridgeoffice@gmail.com <br /> CONTRACTOR NAME: Northend Excavating Inc <br /> CONTRACTOR ADDRESS: STREET 10014 149th Avenue NE <br /> Cm Granite Falls STATE WA n? 98252 <br /> CONTRACTOR PHONE:425-343-4976/360-691-2172 CONTRACTOR EMAIL: nendex@frontier.com <br /> CONTRACTOR LICENSE#(REQUIRED): NORTHEI961 BT CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 043073 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-343-4976 <br /> Todd Zuanich CONTACT EMAIL: nendex@frontier.com <br /> BUIILDII G INFORMAT iON <br /> Existing Use of Building: Contract Price of Work:$ <br /> Proposed Use of Building: Heat Source: OGas DElectric DOther <br /> BUILDING USE: OSFR ❑Townhouse ODuplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New DAddition ❑Remodel DRepair DT.I. ❑Sign OSprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Demolition of house and outbuildings. No current plans to rebuild at this time. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): N/A <br /> +LUMBIIIC ='.PE1RMI APPLI ATION <br /> MECHANICAL IPESIUIII`i'APPLICATION : . .. , . <br /> FixtureFixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER!SUPORESSI N S "STEMSewage Ejector or Sump Pump Other. <br /> Water Suppression System ' No.of Heads <br /> Chemical Suppression System No.of Heads <br /> ACKNOWLEDGEMENT:1 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.1 am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and!comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> `' PERMIT#fa 1(3 /cg p z <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br />