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URI PERMIT APPLICATIOIft <br /> BUILQINECHANICAL t PLUMBING I SIGN RINKLER t DEMOLITION <br /> EVERETT E R E T T CITY OF EVERETT PERMIT SERVICES <br /> C y G G { 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASH I NGTON (P)425-257-8810 I FAX 425-257-8857 ((E)everetteps@everettwa.gov j www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:15 Alder Street Everett, WA 98203PROPERTY TAX#:00852400001000 <br /> LEGAL for new construction: Short Plat/subdivision PARKSIDE EAST Lot No.10 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Jamie Lee Fisher TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 15 Alder Street <br /> ciry Everett STATE WA ZIP 98203 <br /> OWNER PHONE: (316)239-5292 OWNER EMAIL:fisherfam007@gmail.com <br /> CONTRACTOR NAME:Ethan Home Repair and Remodeling, LLC (contact: Milt Rye) <br /> CONTRACTOR ADDRESS: STREET 313 Heather Road <br /> cin Everett STATE WA Zip 98203 <br /> CONTRACTOR PHONE:(425)293-7913 CONTRACTOR EMAIL:milt@ethanhomerepair.com <br /> CONTRACTOR LICENSE#(REQUIRED):ETHANHR934PB CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):57 <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:(425)293-7913 <br /> Milt Rye CONTACT EMAIL:milt@ethanhomerepair.com <br /> BUILDING INFORMATION <br /> E famitY,f a tatrea <br /> Proposed Use of Building:Single family residence Heat Source: OGas DElectric ❑Other <br /> . iikiftbfgatIS :`g 070wrsilliiise CrOplex 0010 nitUlt-tit"- -t fts: rkz*irietti41 Etkcceisscky' 19ic1U'-a <br /> Type of Project: New ❑✓Addition ❑Remodel ❑Repair ❑T.I. ❑Sign OSprinkler ❑Demolition ❑Change of Use <br /> POSPPIPTPI WPW tletroffSh existing deck sfoiI',bttifd new deck and s€afr <br /> ASSOCIATED BUILDING PERMIT#(if ap•licable.. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture ..Fixtureustot Flows, Fixture 44#of <br /> F44400Count ' count .. :.Count Count <br /> A/C-Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> v44,414 4C146 RAW titip#W4Notlef Asinit-AmrterflaiP-comp-vwfloari <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> kt higist Fait(#fit=fideIIiti'a't)' oiriiiiere§a Ven Atli r f io�rl ra`d ' `To e1': <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> f r 1t0 -f-914164(44eF <br /> SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> C,,emical Suppression System q4o,at Heats • <br /> 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 <br /> current federal,state,and local•law. The granting of a.permit only authorizes approved work and:ao.deviations therefrom.42eu ations must first die autlx zed In writing*VP the <br /> 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, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> [LZ �[. y of Fu?G' i00, Jsa Ong: <br /> /l PERMIT# <br /> /./.40 52/2 /7,7 Tiq M.. ( <br /> authorized Agent Slgnatu Date (Revised 10/10/2018) <br />