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1614 OAKES AVE 2019-07-08
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1614 OAKES AVE 2019-07-08
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Last modified
7/8/2019 11:57:25 AM
Creation date
7/8/2019 11:57:23 AM
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Address Document
Street Name
OAKES AVE
Street Number
1614
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l•ligi PERMIT APPLICATION <br /> BUILDING / MECHANICAL/ PLUMBING /SIGN / SPRINKLER / DEMOLITION <br /> E V E R E T TCITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 ( FAX 425-257-8857 )(E)everetteps@everettwa,gav I www.everettwa.govipermits <br /> or Iltdc d Plow* PROJECT RITE.INFORMATION <br /> PROJECT SITE ADDRESS: 16 14 000, A\IPP. E,\1�V R4.} ‘ W 9 "L,U 1 PROPERTY TAX#: 0 0 i 3 b 2_33t., ,,,:r:/-s-o..... <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> fN: A 'INFORMATION;': <br /> OWNER NAME: (.• h 6.A c a °ff,,floury TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET i`V' '1-1 { 0 o,f« �A �?t� <br /> .. CITY STATEQIP ° rJ C. <br /> OWNER PHONE: .y O "_ 20$ -- csEa _ OWNER EMAIL: Ch f iS - /Yo h'kf 13. 1(. y� <br /> 4'�1th 1 <br /> CONTRACTOR NAME: AAP (ki00-f-t•' fb I v 1/y00'1'0,3. <br /> CONTRACTOR ADDRESS: STREET 200 U V I i 6+ I'T It/qee <br /> CITY ,.Q"1 7 I STATE Lk/ zip 9 a 166' <br /> CONTRACTOR PHONE: -2-06 ( 5 1 ---2 I DCONTRACTOR EMAIL: 'II)001 11 a A S t }` iirSTA 60 ill <br /> CONTRACTOR LICENSE#(REQUIRED): M f�R U Up IAF 02:-.), N 6, CITY OF EVERETT'BUSINESS LICENSE#(REQUIRED): OT <br /> PRIMARY CONTACT: ❑OWNER v CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: -1 -- 2 S <br /> 1 V`C�t'}l1 \St! CONTACT EMAIL: 1 ` '\c."�' L; n„s m r e 0 C, , v cc <.1,i r}, <br /> BUINGINRMATION, <br /> 411 <br /> Existing Use of Building: V g Contract Price of Work:$ s 1 <br /> ' #r <br /> Proposed,Use of Building: 'SIX(IVIHeat Source: 'fGas DElectric ❑Other <br /> BUILDING USE:VSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel Px4-"epair ❑T.I. OS1) OSTrinitter ❑Demolition OChan e of Use <br /> DESCRIPTION OF WORK: 0,9 <br /> fr a r' <br /> ;t -Crum m +e tQ 17t.)t �At » 1y,,, ,i-c\1 ) p Kv 0\ c) Shut ` • <br /> ASSOCIATED BUILDING PERMIT#(if applicable): „. <br /> OECHANItakt.PERMIT APPLICATION ' PLUMBING-PERMIT APPLICATION <br /> Fixture List of Fixtures Fixture Fixture Fixture <br /> Count Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> A/C—Air Handling Units 43 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 t Water Service(behind meter) <br /> 1 <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log a Roof Drains Water Heater <br /> Fireplace/Insert/L1 <br /> SPRINKLER/ IPPR „ IN$1, TEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System o.of Heads <br /> `Chemical Suppression System 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 5(31,,,ItractE7 Law 18.27 RCW and 296,200A WAC. <br /> is <br /> City of Everett Official Use Only <br /> DS-13 1(11 PERMIT#\ j \ (� 05_�� <br /> 4 - <br /> Owners utho d Age (Sign.to.. 1`"I 220 1`[ .. <br /> g Date (Revised 10/10/2018) <br />
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