427 MORGAN RD 2020-03-09 - Laserfiche WebLink

PERMIT APPLICATION °1111111111BUILDING/MECHANICAL/PLUMBING 1 SIGN I 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:427 MORGAN RD , EVERETT,WA 98203-5502 PROPERTY TAX#:00393300007600 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: GREENLEAF GERALD TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREET427 MORGAN RD c,n Everett STATE Wa zip 98203 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:Statewide Restoration CONTRACTOR ADDRESS: STREET13450 NE 177th PI cRv Woodinville STATE Wa zip 98072 CONTRACTOR PHONE:503.374.4799 _CONTRACTOR EMAIL:Vlad.Bond @ gostatewlde.Com CONTRACTOR LICENSE#(REQUIRED):STATERI866KH CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):5 5ga PRIMARY CONTACT: 0 OWNER d CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:503.374.4799 Vlad Bondarenko CONTACT EMAIL:Vlad.Bond@gostatewide.com BUILDING INFORMATION Existing Use of Building:SFR Contract Price of Work:$100,000 Proposed Use of Building:SFR Heat Source: ❑Gas DElectric DOther BUILDING USE: ❑SFR ❑Townhouse ❑Duplex OADU EMulti-Family-#Units: ❑Commercial LiAccessory Structure Type of Project: ❑New ❑Addition ©Remodel O✓Repair T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Fire Damage Repair to Structure, Replace Roof Trusses like for like, Rebuild fire damaged walls, Remove Non Load Bearing walls in kitchen, Frame in Nook area, Replace insualtion. Replace windows ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION FixtureFixture Fixture Fixture Count List of Fixtures count List of Fixtures Count List of Fixtures Count List of Fixtures NC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) 2 Shower,Tub,or Combo Boiler Gas Range I Clothes Washer Sink-Commercial(3-comp,prep,floor) 1 Clothes Dryer Heat Pump&Ductless 1 Dishwasher 3 Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop 3 Exhaust Fans(Residential) Commercial Ventilation Floor Drain 2 Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) 1 Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) 1 Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System 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.1 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 Only 3-22-19 fl 0 razed Agent Signature Date Revised 10/10/2018)