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PERMIT APPLICATION <br /> � BUILDING/MECHANICAL/PLUMBING/SIGN /SPRINKLER I DEMOLITION <br /> Imo d 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 Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 10627 19th Ave SE Everett, WA 98208 PROPERTY TAX#: 00445600003100 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: BEC Build LLC. TENANT NAME(If Commercial): Silver Lake Orthodontics <br /> OWNER MAILING ADDRESS: STREET 18031 67th Ave NE <br /> CITY Kenmore STATE WA ZIP 98028 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Slavic (Nash Electric LLC.) <br /> CONTRACTOR ADDRESS: STREET 8316 71st Street NE <br /> CITY Marysville STATE WA zip 98270 <br /> CONTRACTOR PHONE: 425-268-4524 CONTRACTOR EMAIL: nash_eiectric@hotmail.com <br /> CONTRACTOR LICENSE#(REQUIRED): NASHEEL853KA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):On file <br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR D OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:818-744-1473 <br /> Danny CONTACT EMAIL: dannygedaliaftgmail.com <br /> BUILDING PERMIT APPLICATION (Q(R ll= <br /> Existing Use of Building:Empty Contract Price of Work:$ `40 <br /> Proposed Use of Building:Orthodontics Heat Source: OGas DElectric DOther <br /> Building Type: °SFR-Detached °SFR-Attached °Duplex OMuIti-Family-#of Units: °Commercial Dlndustrial <br /> Type of Project: New °Addition °Remodel °Repair DT.I. IRSign OSprinkler °Demolition OChange of Use <br /> DESCRIPTION OF WORK: <br /> Instal 2 sets of Channel letter Signs <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 #°f List of Fixtures List of Fixtures #of List of Fixtures #°f List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> NC—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration 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 /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> (Chemical or Water f fNo.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 circumsta 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- and 296.200A WAC. <br /> City of Everett Official Use Only <br /> 1 rr / PERMIT# p�tQ <br /> 9/4/2018 S ( OV l "0661. <br /> Owner/Authorized c ent Signature Date (Revised 9/23/2016) <br />