8408 18TH AVE W 10 - 103 2019-11-15

OLT 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 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 8408 18th Ave W #10-103 PROPERTY TAX#: 00705401010300 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Elizabeth (Eloheimo) Keast TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 8408 18th Ave W Unit#10-103 CITY Everett STATE WA ZIP 98204-3105 OWNER PHONE: 425-353-2252 OWNER EMAIL: CONTRACTOR NAME: The Plumbing Physician CONTRACTOR ADDRESS: STREET PO Box 2213 CITY Lynnwood STATE WA zip 98036 CONTRACTOR PHONE: 425-771-6200 CONTRACTOR EMAIL: PLUMBPHY(wAOL.COM CONTRACTOR LICENSE#(REQUIRED): PLUMBP*044D8 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 56814 PRIMARY CONTACT: ❑ OWNER TEJ CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 4257716200 Brad Sutton CONTACT EMAIL: plUmbphy@a aol.com BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: $ Proposed Use of Building Heat Source: EGas ❑Electric DOther Building Type: ❑SFR-Detached ESFR-Attached ❑Duplex ❑Multi-Family-#of Units: OCommercial 0 Industrial Type of Project: DNew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition OChange of Use DESCRIPTION OF WORK: ASSOCIATED BUILDING PERMIT#(if applicable): 61804-043 MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New _ Addn _Alteration Repair Type of Project: _New _Addn XAlteration _Repair #of #of #of #of Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures A/C—Air Handling Units Heat Pump I Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler 1 Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove 1 Kitchen Sink&Disposal Grease Trap Gas Range Ducting 1 Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood 1 Water Heater Other Exhaust Fan 1 Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water 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 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 PERMIT# II 'r-� \� l 5-11-18 l 23��60C( Owner/Authorized Agent Signature Date (Revised 9/23/2016)