332 MADISON ST B 2020-05-22 - Laserfiche WebLink

4577. PERMIT APPLICATIO BUILDINu i MECHANICAL / PLUMBING / SIGN I uPRINKLER I DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (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:332 MADISON STREET, EVERETT, WA 98203 PROPERTY TAX#:003933000020000 LEGAL for new construction: Short Plat/subdivision BEVERLY HILLS DVS Lot No.20 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: MARTY HOUGHTON TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREEra32-4-A J�7�REE//I�2 7 9j/ij g', -#.-cd i/-e-v0 rye CITY CVCRC' r STATE"'W Wil V z-23 OWNER PHONE: 360.840.1907 OWNER EMAIL:332madisonst@gmail.com CONTRACTOR NAME: aon 0 t A�CQ- 2.kshz,(2.50--wv.... c i CONTRACTOR ADDRESS: STREET l` 2„-2,2, t Cz Ki CITY \l M-N , cA 22. STATE ZIP CONTRACTOR PHONE: LA 25 ?3 2��r VVVVIIII ` �","`�"�.. CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): .C-Okl C.Q Cr.?--%C4 8 S CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER ❑ CONTRACTOR 0 OTHER(Please Specify) ARCHITECT CONTACT NAME: CONTACT PHONE:206,931.0990 GARIN SCHENK CONTACT EMAIL:GARIN@ARCHSTUDIOEVERETT.CO BUILDING INFORMATION ExistingUse of Building:SFR Contract Price of Work $$100.000 I v 9 O 5� �) Proposed Use of Building:DUPLEX Heat Source: Gas ❑Electric / ❑Other BUILDING USE: ❑SFR ❑Townhouse {Duplex ❑ADU ❑Multi-Family-#Units: ❑Comp ercial ❑Accessory Structure 1 Type of Project: ❑New ❑✓Addition ❑Remodel ❑Repair ❑T.l. ❑Sign ❑Sprinkler Demolition ❑Change of Use DESCRIPTION OF WORK: CONVERT EXIST. SINGLE FAMILY RESIDENCE AND DETACHED GARAGE TO A DUPLEX, BY CONNECTING THE EXISTING BUILDINGS W/ NEW GARAGE. 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 UnitsGas 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 G 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 PERMIT-# Owner/Au orized Ag nt Signature Date (Revised 10/10/2018) -L/