12115 19TH AVE SE THE LAKEHOUSE APARTMENTS 2023-07-03

PERMIT APPLICATIO BUILDING..ECHANICAL / PLUMBING / SIGN N. 121 RINKLER/ DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 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:12115 19th Avenue SE, Everett WA PROPERTY TAX#:28052900202700 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal scription) CONTACT INFORMATION OWNER NAME: Andrew Wolper TENANT BUSINESS NAME(Commerci ): Aukum Management LLC OWNER MAILING ADDRESS: STREET 900 Larkspur Landing Circle Suite 100 cln Larkspur STATE CA ZIP 94939 / OWNER PHONE: 303-324-2479 OWNER EMAIL:andrew@aukum.com CONTRACTOR NAME: Cf231,_%. l -- CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED):�i (21 mt., k CITY OF EVERETT BUSINESS LICENSE#(REQUIRED)5S � PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) Architect iiii CONTACT NAME: CONTACT PHONE:503.889.0604 Jonathan Dunn CONTACT EMAIL:jonathan@wblock.com BUILDING INFORMATION Existing Use of Building:NA Contract Price of Work: $25,000 Proposed Use of Building:NA Heat Source: ❑Gas 0Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑✓Multi-Family-#Units: Commercial ❑✓Accessory Structure Type of Project: ❑✓New ❑Addition ❑✓Remodel ❑Repair ❑T.l. ❑Sign Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: New exterior gazebo added near pool deck. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count - List of Fixtures A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) _Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilation _Floor Drain Toilet -Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove _Interceptor-Sand/Oil Water Service(behind meter)_ 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. 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 PERT # +_ ^/^ Jonathan Dunn .y_—�- —V-' 10/01/2020 `\ O 0�--/ Owner/Authorized Agent Signature Date (Revised 10/10/2018)