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071477PERMIT APPLICATION <br /> BUILDING / MECHANICAL/PLUMBING /SIGN I 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 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:6004 Dexter Ave, Everett, WA 98203 PROPERTY TAX#:00443100001300 <br /> LEGAL for new construction: Short Plat/subdivision FAIRVIEW HEIGHTS BLK 000 D-00 Lot No.13 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Derek and Nicole Jones TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 11515 36th Dr SE <br /> cm,' Everett STATE WA ZIP 98208 <br /> OWNER PHONE: 425-876-2313 OWNER EMAIL:derekj@islandwood.org <br /> CONTRACTOR NAME:Cronus Remodeling LLC <br /> CONTRACTOR ADDRESS: STREET PO Box 80927 <br /> crry Seattle STATE WA ZIP 98108 <br /> CONTRACTOR PHONE:206-683-2504 CONTRACTOR EMAIL:cronuSremodeling@gmail.com <br /> CONTRACTOR LICENSE#(REQUIRED):CRONURL826QE CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):(:6?,jley <br /> ey <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) �<�< <br /> CONTACT NAME: CONTACT PHONE:206-683-2504 <br /> Brandon Jones CONTACT EMAIL:cronuSremodeling@gmail.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Single Family Residence Contract Price of Work:$30,000 <br /> Proposed Use of Building:Single Family Residence Heat Source: OGas DElectric ❑Other <br /> BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑✓Remodel ❑Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Remove garage door and replace with 60"french doors. Insulate foundation walls with 2" rigid foam, <br /> 2x4 framing and drywall. Remodeling basement into living space. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture 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 Ventilation 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/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.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 Contractors Law 18.27 RCW and 296.200A WAC. <br /> r <br /> City of Everett Official Use Only <br /> - <br /> A <br /> PER <br /> 9.2-G- 17-2---1---t.-�-r ! 11 , �u o l 1 <br /> • er/Au e orized Ag nt Sig ture / Da (Revised 10/10/2018) <br /> 11Z <br />