6517 ELLIOTT WAY 2019-09-04 - Laserfiche WebLink

PERMIT APPLICATION BUILDING/MECHANICAL/PLUMBING/SIGN /SPRINKLER/DEMOLITION '11W441*4;/-/-"-----A CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits €BIS;ar Blac iafk:Only P ease)` ROJECT SI INFORMA'ION PROJECT SITE ADDRESS: 6517 ELLIOTT WAY PROPERTY TAX#: 00392901101300 LEGAL for new construction: Short Plat/subdivision BEVERLY HILLS DIV.2 BLK 11 Lot No. 13 (attach copy of long legal description) C,ONTACT IN;FORMATIO OWNER NAME: LEONA MANN TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 6517 ELLIOTT WAY CITY EVERETT STATE WA ZIP 98203 OWNER PHONE: 610 864 1614 OWNER EMAIL: mann400@msn.com CONTRACTOR NAME: MCADAMS REMODELING AND DESIGN, LLC CONTRACTOR ADDRESS: STREET 13003 NE 85TH ST. crry KIRKLAND STATE WA zip 98033 CONTRACTOR PHONE: 425 822 6555 CONTRACTOR EMAIL: len@mcadamsremodeling.com CONTRACTOR LICENSE#(REQUIRED): MCADARD874RB CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): afpfrtd PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 1►'OTHER(Please Specify) ARCHITECT CONTACT NAME: CONTACT PHONE: 206 232 0602 CINDY LARSEN CONTACT EMAIL: cindylar@comcast.net <; BNILDINN PERMIT AP LICATIION, = .. Existing Use of Building:SF Contract Price of Work:$ 30,000 Proposed Use of Building: SF Heat Source: OGas ❑Electric ❑Other Building Type: ISFR-Detached ❑SFR Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ONew ❑Addition I21Remodel ❑Repair ❑T.l. ❑Sign ❑Sprinkler ODemolition ❑Change of Use DESCRIPTION OF WORK: ADD 1/2 BATH, REPLACE SOME WINDOWS AND INTERIOR FINISHES. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL ;PERMIT.APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New Addn ✓Alteration _Repair Type of Project: _New _Addn Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump I Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan I Sink(Service/Bar/Mop/etc.) Other: SPRIN>RLER/>SUPPRE;SS�ION SY.,STEM: Chemical or Water ( INo.of Heads 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 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 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, and 1 comply with the State Contractors Law 18.27 RCW ar,,,296.200A WAC. City of Everett Official Use Only , d; / ' ; PERMIT# CINDY LARSE l —31-18 et 807 ( Owner/Authorized Agent Signature ✓ Date (Revised 9/23/2016) 6[2.)