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

PERMIT APPLICATIQ• BUILDINII 4"MECHANICAL/ PLUMBING/SIGN /SPRINKLER/ DEMOLITION "j" sa- CITY OF EVERETT PERMIT SERVICES .441 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 98203-3808 PROPERTY TAX#: 00527100001101 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Flowers Brent TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1702 62ND ST SE CITY Everett STATE wa zip 98203 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Statewide Restoration CONTRACTOR ADDRESS: STREET 13450 NE 177th pl Se CITY Woodinville STATE wa ZIP 98072 CONTRACTOR PHONE: (425) 829-4050 CONTRACTOR EMAIL: Vlad.bond@gostatewide.com CONTRACTOR LICENSE#(REQUIRED): STATERI866KH CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 55221 PRIMARY CONTACT: 0 OWNER pfr CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425 829 4050 Vlad Bondarenko CONTACT EMAIL: Vlad.bond@gostatewide.com BUILDING PERMIT APPLICATION Existing Use of Building:Single Family Contract Price of Work:$ 100,000 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: FIRE DAMAGE REPAIR,REPLACE DRYWALL THROUGH WHOLE HOUSE,REUVgareedfddelSONOIPSE,DETACH AND RESET plumbing/MECHANICAL,Replace Windows. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New Addn _Alteration . Repair Type of Project: _New _Addn _Alteration 44Repair #of List of Fixtures #of List of Fixtures #°f List of Fixtures #of List of Fixtures _Fixtures Fixtures Fixtur} Fixtures A/C—Air Handling Units Heat Pump � A- Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater 1 Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration k Shower Floor Drain Gas Fireplace Wood Stove I Kitchen Sink&Disposal Grease Trap Gas Range Ducting ( Dishwasher Roof Drains t Clothes Dryer Hookups Other: I Clothes Washer Medical Gas _t Range Hood I Water Heater Other: $) •Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM 'Chemical or Water ' No.of Heads ACKNOWLEDGEMENT.:1 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PER -.# g Owner/Authorized Agent Signature ate (Revised 9/23/2016)