5405 EAST DR 2020-05-18 - Laserfiche WebLink

,. gPERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/DEMOLITION n. CITY OF EVERETT PERMIT SERVICES �'� 3200 CEDAR STREET,EVERETT,WA 98201 (P)4225- 7- 0 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: 540 ast Drive, Everet, Wa. 98203 PROPERTY TAX#: 00471700001101 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Thea Miller, Sarah & Josh Street TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 5403 East Drive CITY Everett STATE Wa ZIP 98203 OWNER PHONE: 425-327-9082 OWNER EMAIL: tgmill55@frontier.com CONTRACTOR NAME: Owner CONTRACTOR ADDRESS: STREET ars( Same as above STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: El OWNER 0 CONTRACTOR 0 OTHER(Please Specify) ICONTACT NAME: Thea Miller CONTACT PHONE: 425-327-9082 / tgmIII55@frontier.con- or. Josh Street ph: 206-850-3612 CONTACT EMAIL: BUILDING PERMIT APPLICATION e Existing Use of Building: Contract Price of Work:$ : ii i J r- Proposed Use of Building: ADU Heat Source: ❑Gas ElElectric •Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: tINew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign El Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Accessory dwelling Unit / Mother in-law unit ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New X Addn _Alteration _Repair Type of Project: X 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 1 Heat Pump 1 Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater _Bathtub _ Urinal Gas Piping Boiler 1 Lavatory(Wash Basin) Drinking Fountain 1 Water Heater Refrigeration 1 Shower _ Floor Drain Gas Fireplace Wood Stove 1 Kitchen Sink&Disposal Grease Trap Gas Range Ducting1 Dishwasher Roof Drains 1 Clothes Dryer Hookups _ Other: Clothes Washer Medical Gas Range Hood ,, to e I Other:tUi(� ishi syn p2 1 Exhaust Fan Si Service/Bar/Mop/etc.) Other: .g.., 10 A.p SPRINKLER/`SUPPRESSION SYSTEM Chemical or Water I 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. � i 1 l City of Everett Official Use Only `v�"Vv L, ... ..? 12 C DPERMIyaj k D2 _OtIThOwner/Authorized A ent Si nature L Datft (Revised 9 9 9/23/2016) 6(;'),