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.,:----- PERMIT APPLICATIOr <br /> BUILDIN ECHANICAL/PLUMBING/S1C RINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 982G1 <br /> (P)425-257-8810 1 FAX 425-257-8857 I(E)evere ps@everett gov j www everettr ra govfpermits <br /> (Blue " : ack 1 $ 0 ;Plea '''„i.,-, <br /> 4r ' s x 3 <br /> e. <br /> „ , ,, <br /> ..,.. <br /> PROJECT SITE ADDRESS: 2212 Pine Street PROPER : 30 ?OC 100500 <br /> LEGAL for new construction: Short.Platfsub livisior SMYTH LAND CO S Lot No a&6 (attach copy of twig l <br /> cal description) <br /> Lam" : ;. a . <br /> OWNER NAME: Banwait.Gurmail&Kaur Singh ._, <br /> TENANT NAME(If Cm�r�alj: <br /> OWNER MAILING ADDRESS: STREET 2212'.Pine Street <br /> CITY Everett <br /> STATE" WA. zlp 98201 <br /> OWNER PHONE: 426-3468427f)1NNEI7'EMAIL singh6463pgmail com <br /> Irv ;, <br /> CONTRACTOR NAME: Grewalz Got s ructlora Inc. <br /> CONTRACTOR ADDRESS: STREET 23662 -41st Ave.S. <br /> C1TY Kent ` STATE WA <br /> zip 98032 <br /> CONTRACTOR PHONE: 266-341-546.4 CONTRACT EMAIL: grewalzc tnstrUCtiart@gmaiLLCcm <br /> CONTRACTOR LICENSE#(# QUIR-ED: ' / <br /> GREWACI992 K / trtr...... r BUSINESS LICENSE#{I t_ tuIl, }; <br /> PRIMARY CONTACT: 0 OWNER I CONTRACTOR _r,® s i. -/Please Specify) if.tE(ArchitectsCONTACT NAME: !mad Bahbah-IH8 Ar titects �, r .4',,NTACT PHONE: 263-466-7696 <br /> �P CONTACT EMAIL: Imad©IHBArchitectS.carrt <br /> Existing Use of Building: Single Family Contract Price of Work:$ 15O OOO <br /> Proposed Use of Building: Single Family Heat Source: Dias MEI ctric ( Other <br /> Building,Type I I R-f)etached 1SFR-Ar:shed lJDupiex DMuiti-Family-#of Units: 1:1Gom nerciai ©Industrial <br /> Type of Project:,ONew I Addition t1 remodel c3Repair OT.I. 1:1$19n °Sprinkle iiti n bchenge of Use <br /> DESCRIPTION OF WORK: <br /> REMODEL OF EXISTING BUILDING 1 STORY RESIDENCE WITH NEW TWO STORY ADDITION <br /> ASSOCIATED BUiL?ING PERMIT#(if applicable <br /> A _IO*1 -1 . M .. P AM GPER PERMIT APP ,1CA'1 o 4 <br /> Type of Project. New W Addnflratipn Repair. Type of Project _New $5ddn „Alteration Repair <br /> #of List of Fixtures A #of ! <br /> Fixtures 1 List of Fixtures" #of List of Fixtures #'�� <br /> Fixtures Futures t rst ttftrtures <br /> Fixtures <br /> 0 A/C—Air Handling,Units Heat Pump2 - . <br /> . Toilet ��ow I?reventer(Inside Bldg) <br /> 0 Forced Air Systems Unit Heatter, 2 Bathtub 0 Urinal <br /> Gas Piping n B"oiler2 "LavatoryQ ;Di'i`►kin Fountain ` <br /> (Wash Basin), <br /> o Water Heater 1 Refrigeration 2 Shower 0 -Fluor Drain <br /> 0 Gas Fireplace Wood Stove 1 Kitchen Sink&Disposal' Q Grease Trap <br /> 0 Gas Range` Ducting 1 Dishwasher 0 Roof Drains <br /> 0 clothes Dryer Hookups Other: 0 Clothes Washer Mediu Gas <br /> 1 Range Hood 6 Water Heater Other: <br /> Exhaust Fan t} Sink(S ca&Ba op tc.), Other: <br /> p IChemical or Water I-No.of Heads <br /> ACKNOWLED EMENT I have reviewed this application and confirm the information contained herein is true and eatrect,i4,4ark donne pursuant to this <br /> permit must comply with <br /> :orient federal,state,anis local law.The granting of a permit on&authorizes approved work and no deviations.therefrom Deviations must first be authorized in writing from the <br /> 3uiidirig Official before being authorized under any circumstance lam the owner,or!am authorized by the owner of this property to perform the wortfor which application is made; <br /> Ind f comply with the State contactors Law f,8,27 RCWand'296,.20.0.4 WAS. <br /> City of Everett Official Use Only <br /> r PE MIT# <br /> 0q.- 3 t <br /> )wnert etherize .,: f �� <br /> . Smnatu paw rrr 9r0 )4 al <br />