1702 62ND ST SE 2019-09-10 - Laserfiche WebLink

PERMIT APPLICATION #.1111P/0/04%F.-A 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@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 1702 62nd ST SE Everett, WA 98203 PROPERTY TAX#: 00527100001101 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Brent Flowers TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1702 62nd ST SE CITY Everett STATE Washington ZIP 98203 OWNER PHONE: (206) 390-1996 OWNER EMAIL: brent.e.flowers@gmail.com CONTRACTOR NAME: Statewide Restoration CONTRACTOR ADDRESS: STREET 13450 NE 177th Place CITY Woodinville STATE Washington ZIP 98072 CONTRACTOR PHONE: (425)402-7170 CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): STATERI866KH CITY OF EVERETT BUSINESS LICENSE#(REQUI D): 5522. PRIMARY CONTACT: ❑OWNER 'CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (425) 829 4050 Vlad Bonderenko CONTACT EMAIL: vladb@domuscd.com BUILDINGPERMIT APPLICATION , Existing Use of Building: e,�541 t411 Iii 9 Contract Price of Work:$�oo0.00 Proposed Use of Building: V.QS;Oen 10,1 - S tA91 e V-47\16,) 19 Heat Source: ❑Gas MElectric ❑Other Building Type: glSFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel IS31Repair ❑T.I. ❑Sign ❑Sprinkler 0 Demolition ❑Change of Use DESCRIPTION OF WORK: RertoUC cjrJ i.ejigte r S&'o or\ i..4-o e Fico( cJe1-ah and reSef pit"",b.4\5 imecitA acvl REMOVE AND REPLACE DRYWALL ON WHOLE FLOOR,DETACH AND RESET PLUMBING/MECHANICAL FEATURES,REPLACE WINDOWS,AND CHANGE EXTERIOR SIDING PER ENGINEERING INSTRUCTIONS. FTICktt ePIakC� wiYldoi,5/orae c)' iyt tkIiNror 5ici 9 Pt's" en,bleerib9 i crrry'kO1S'' ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration Repair Type of Project: _New _Addn _Alteration XRepair #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 "L Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater I Bathtub Urinal Gas Piping Boiler I Lavatory(Wash Basin) Drinking Fountain I Water Heater Refrigeration Z. Shower Floor Drain Gas Fireplace Wood Stove I Kitchen Sink&Disposal Grease Trap Gas Range Ducting I Dishwasher Roof Drains Clothes Dryer Hookups Other: / Clothes Washer Medical Gas Range Hood Water Heater Other: 3 Exhaust Fan 2 Sink(Service/Bar/Mop/etc.) Other: SPRINKLER I SUPPRESSION SYSTEM Chemical or Water I No.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 lam 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 PERMIT# 613'11 t X010 - 000 Owner/Authorized Agent Signature Date (Revised 9/23/2016)