6524 TYEE RD A B 2020-06-30 - Laserfiche WebLink

• , PERMIT APPLICATION BUILDING/MECHANICAL/ PLUMBING/SIGN /SPRINKLER/DEMOLITION /111P*41 /-----a CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 l(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Gregory Schroeder TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 6524 Tyee rd. CITY Everett STATE Wa. ZIP 98203 OWNER PHONE: 1-206-321-6279 OWNER EMAIL: gregsschroeder@icloud.com CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 121 OWNER 0 CONTRACTOR 0 OTHER(Please Specify)Les White, designer CONTACT NAME: CONTACT PHONE:425 210 2935 CONTACT EMAIL:arc3ddeSigns@comcast.net BUILDING PERMIT APPLICATION Existing Use of Building: unocupied Contract Price of Work:$ Proposed Use of Building:rental Heat Source: ❑Gas 0Electric DOther Building Type: ❑SFR-Detached ❑SFR-Attached ]Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel Ea Repair ❑T.1. ❑Sign ❑Sprinkler ❑Demolition RIChange of Use DESCRIPTION OF WORK: ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn Alteration _Repair Type of Project: _New Addn 1,Alteration Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #°f List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C-Air Handling Units Heat Pump 2 Toilet Backflow Preventer(Inside Bldg) Forced Air Systems 6 Unit Heater 2 Bathtub Urinal Gas Piping Boiler 2 Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower 1 Floor Drain Gas Fireplace Wood Stove 2 Kitchen Sink&Disposal Grease Trap Gas Range Ducting 2 Dishwasher 4 Roof Drains 2 Clothes Dryer Hookups Other: 2 Clothes Washer Medical Gas 2 Range Hood 2 Water Heater Other: 2 Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Number 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.lam 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/Authorized Agent Signature Date (Revised 9/23/2016)