731 93RD ST SW 2020-06-19 - Laserfiche WebLink

PERMIT APPLICATION BUILDING/MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ 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: 731 93RD ST SW EVERETT WA 98204 PROPERTY TAX#: 00534000000100 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: DAI VU &NGUYET NGUYEN TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 731 93RD ST SW Cry' EVERETT STATE WA ZIP 98204 OWNER PHONE: 425 8792910 OWNER EMAIL: CONTRACTOR NAME: LONG BUI CONTRACTOR ADDRESS: STREET 922 134TH ST SE cIT' EVERETT STATE WA zip 98204 CONTRACTOR PHONE: 425 346 2071 CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): LONGSC*006KP CITY OF EVERETT BUSINESS LICENSE#(REQUI D): Dqc, rtip ✓7 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR G 'OTHER(Please Specify) DAI'S BROTHER CONTACT NAME: PHUOC NGUYEN CONTACT PHONE: 425 879 3325 CONTACT EMAIL: BUILDING PERMIT APPLICATION /„„N � 0 Existing Use of Building: Contract Price of Work: LJ Proposed Use of Building: SINGLE FAMILY RESIDENTAL Heat Source: OGas '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: ADDING 700 SF ONE STORY TO SINGLE FAMILY DWELLING WITH 3 BEDROOMS AND 1 BATHROM. 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 List of Fixtures #of List of Fixtures itof List of Fixtures #of List of Fixtures Fixtures Fixtures fixtures Fixtures A/C—Air Handling Units Heat Pump 1 T ilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater / 1 Bathtub Urinal Gas Piping Boiler 1 L-vatory(Wash Basin) Drinking Fountain Water Heater Refrigeration L hower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER I 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. City of Everett Official Use Only AO Of Pr#4...cs Owner/Authorized Agent Signature Date (Revised 9/23/2016) 1