1406 WETMORE AVE 2019-09-17 - Laserfiche WebLink

PERMIT APPLICATIO BUILDING I II CHANICAL/ PLUMBING/SIGN INKLER/ DEMOLITION /14414,4V/:� � CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-88571(E)everette s everettwa. ov www.everettwa. ov/ ermits P@ 9 I 9 p (Blue or BlackIInk Only Please) PROJECT SITE,INFORMATION-, PROJECT SITE ADDRESS: 1406 Wetmore Ave Everett, WA 98201 PROPERTY TAX it: 00438529202900 LEGAL for new construction: Short Plat/subdivision Lot No. 29/30 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Diane Brooks TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1406 Wetmore Ave CITY Everett STATE WA ZIP 98201 OWNER PHONE: 425-299-6469 OWNER EMAIL: Back40c@msn.com CONTRACTOR NAME: Back Forty Construction, LLC CONTRACTOR ADDRESS: STREET 27419 118th ST SE CITY Monroe STATE WA ZIP 98272 CONTRACTOR PHONE: 360-793-2899 CONTRACTOR EMAIL: Back40c@msn.com CONTRACTOR LICENSE#(REQUIRED): BACKFFC914P6 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 56480 PRIMARY CONTACT: ❑OWNER 47 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-232-3737 Mike Clothier CONTACT EMAIL: Back40c@msn.com BUILDING PERMIT APPLICATION Existing Use of Building:SFR Contract Price of Work:$ 1200.00 Proposed Use of Building: SFR Heat Source: ViGas ❑Electric ❑Other Building Type: OSFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ORemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Remove window, frame for new door, enlarge kitchen opening 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 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 Chemical or Water 1 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.eing 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!comply with the ' ate Contractors Law �. 7 RCW and 296.200A WAC. �/ City of Everett Official Use Only ' ,^ PERM 9)() .. l II � llCb� T •,, er Authorized Agent Signature Date (Revised 9/23/2016) iZ \