1009 112TH ST SE BLDG A 2022-01-19

PERMIT APPLICATIt_ MI BUILDING i MECHANICAL / PLUMBING I SIGPRINKLER / DEMOLITION E V E R E T TCITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (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: 1009 112th St. SW Everett WA 98208 PROPERTY TAX#:01003100330300 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Camlyn Condos HOA TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 1009 112th St. SW CST( Everett STATE WA ZIP 98208 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: McLeod Construction CONTRACTOR ADDRESS: STREET1115 N 140th St. CITY Seattle STATE WA ZIP 98113 CONTRACTOR PHONE:206-545-7837 CONTRACTOR EMAIL:CI710nCada©mCleodCOnstrUCtlon.Com CONTRACTOR LICENSE#(REQUIRED): (t)02., 1111 / 02. CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 0 y3S'o).- PRIMARY PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: y-e �O� `9sr tLCONTACT PHONE:206-833-7588 Carlos Moncada ►�c CONTACT EMAIL:cmoncada@mcleodconstruction.com BUILDING INFORMATION 9 _ a ( 1 Existing Use of Building: Multi-family Residential Contract Price of Work:'$ ) /Z�`�-� � � \ �O Proposed Use of Building: Heat Source: ❑Gas Ictric ❑Other ) BUILDING USE: ❑SFR ❑Townhouse EDuplex ❑ADU ❑✓Multi-Family-#Units: ❑Commercial ❑Acces Structu Type of Project: New Addition ❑Remodel Repair T.I.❑ Sign ❑Sprinkler ❑Demolition Change of Use DESCRIPTION OF WORK: e carport in front of building A. fitlZLD /(LJNrizTtt eci p - 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 Units Gas Piping Backflow Preventer(Inside Bldg) Showier,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless'' Dishwasher 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.-•fore 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,''h the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only . A--- 10/Z2 / PER GIk� - br(0 1Owner/ thorized Agent Signature Date f (Revised 10/10/2018)