2218 112TH PL SE 2020-06-16 - Laserfiche WebLink

PERMIT APPLICATIO 416-77- BUILDING / MECHANICAL/ PLUMBING /SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET. EVERETT, WA 98201 (P)425-257-8810 1 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: -2-2- /E, ' //Z -Ill Bate SS (7 ) PROPERTY TAX#: 005757001 f0t1902. 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 91356 OWNER PHONE: 818-822-6560 OWNER EMAIL: gmoalem@gmail.com CONTRACTOR NAME: Same as above CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) Architect CONTACT NAME: Peter Anderson CONTACT PHONE: 206-949-5828 CONTACT EMAIL: pga.imagodelineo@msn.com BUILDING PERMIT APPLICATION (A.ji Existing Use of Building: Vacant property Contract Price of Work: $ 1 12-9 2.512- Proposed ._ ZProposed Use of Building: Townhouse Heat Source: ❑Gas 12Electric ❑Other — Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ID New ❑Addition El Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Construct new three story Jov'rhouse 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 #of #of #of Fixtures List of Fixtures List of Fixtures List of Fixtures List of Fixtures Fixtures Fixtures Fixtures A/C–Air Handling Units 1 Heat Pump 4 Toilet Backflow Preventer(Inside Bldg) _ Forced Air Systems Unit Heater _ Bathtub Urinal Gas Piping Boiler 5 Lavatory(Wash Basin) Drinking Fountain 1 Water Heater Refrigeration I Shower Floor Drain Gas Fireplace Wood Stove 1 Kitchen Sink& Disposal Grease Trap Gas Range Ducting 1 Dishwasher Roof Drains 1 Clothes Dryer Hookups Other: 1 Clothes Washer Medical Gas , Range Hood Water Heater Other: 2 Exhaust Fan 1 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 I comp with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 'WMw — PERM # , CA coq- - of 3 Owner/Authorized Agent Signature Date (Revised 9/23/2016)