2206 112TH PL SE 2020-06-15 - Laserfiche WebLink

PERMIT APPLICATION i 477BUILDING , ,:iECHANICAL / PLUMBING / SIGN f,r1kINKLER I 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 I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: - (D l`2 V ,.;Unit 12D PROPERTY TAX#: 00575700101902,57 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: MVM Development and Construction TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 19528 Ventura Boulevard, Suite 573 CITY Tarzana STATE CA ZIP 91355 OWNER PHONE: 818-822-6560 OWNER EMAIL: gmoalem@gmail.com CONTRACTOR NAME: Same as above CONTRACTOR ADDRESS: STREET CITY STATE ZIP l _- CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):55 5`-. PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR 0 OTHER (Please Specify) il.,j'c SCt CONTACT NAME: Pel-i Anderson CONTACT PHONE: 206-949-5828 �' CONTACT EMAIL: pga.imagodelineo@msn.com BUILDING PERMIT APPLICATION Existing Use of Building: Vacant property Contract Price of Work: $ 100.000 Proposed Use of Building: Townhouse Heat Source: DGas 0-Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Construct new three story Townhouse ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: 'New Addn _Alteration _Repair Type of Project: New Addn Alteration Repair #of Fixtures List of Fixtures #of List of Fixtures #of List of Fixtures #of Fixtures Fixtures Fixtures List of Fixtures A/C—Air Handling Units s Heat Pump 4 Toilet Backflow Preventer(Inside Bldg) Forced Air Systems S ' Unit Heater 2 Bathtub Urinal Gas Piping Boiler 5 Lavatory (Wash Basin) Drinking Fountain 1 Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove 1 Kitchen Sink& Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood 1' Water Heater Other 2 Exhaust Fan "i Sink(Service/Bar/Mop/etc.) Other 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/comply with the State Contractors Law 18.27 RCW and 296.200A WA C. _ - 1 ..4, \t City of Everett Official Use Only 11 PERMIT#f� ` O 9 I . ii/7 Owner/Auth rized Agent Signature I /l/20 9 9 e Date (Revised 9/23/2016)