4522 EVERGREEN WAY STATE FARM INSURANCE 2019-09-05

4477- PERMIT APPLICATION BUILDING /MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps©everettwagov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 4522 Evergreen Way,Everett,WA,98208 PROPERTY TAX#: 00605502201001 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Damian Properties LLC TENANT NAME(If Commercial): Luigi Damian Insurance and Fin Svcs Inc OWNER MAILING ADDRESS: STREET 4202 114th St SE crry Everett STATE WA ZIP 98208 OWNER PHONE: 425-864-3025 OWNER EMAIL: luigimae@hotmail.com CONTRACTOR NAME: Tanen Construction CONTRACTOR ADDRESS: STREET 1415 1/2 E John Street cr v Seattle STATE WA ZIP 98112 CONTRACTOR PHONE: (206)650-1441 CONTRACTOR EMAIL: erictanen@msn.com CONTRACTOR LICENSE#(REQUIRED): TANENC*862P7 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): Pending PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR El OTHER(Please Specify) ARIANA DESIGNS LLC CONTACT NAME: Ariana Adireh CONTACT PHONE: (206)234-7502 CONTACT EMAIL: info@ariid.com BUILDING PERMIT APPLICATION Existing Use of Building: B,M,S Contract Price of Work:$ 50/000 Proposed Use of Building: B Heat Source: IiiGas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: IiCommercial 0 Industrial Type of Project: ❑New ❑Addition IEIRemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Non-structural exterior renovation and non-structural interior partitions y- \A,e,' 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 # List of Fixtures of #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump 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 Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM 1Chemical 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 1 am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PER # August 14th, 2018 (7 XJ� Owner/Authorized Agent Signature Date (Revised 93/2016)