Laserfiche WebLink
EVERETT <br />WASHINGTON <br />PERMIT APPLICATI <br />BUILDIN01MECHANICAL / PLUMBING /SIG SPRINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: 3314 56TH ST SW <br />PROPERTY TAX #: 00731700000900 <br />LEGAL. for new constiurtion: Short Plat/subdivision KENILWORTH HILLS No. 1 BLK 000 D-00 Lot No. 9 (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: DAN ZOLLMAN TENANT BUSINESS NAME (Commercial): <br />OWNER MAILING ADDRESS: STREET 3314 56TH ST SW <br />CiTv EVERETT STATE WA zip 98203 <br />OWNER PHONE: (907) 378-4240 <br />OWNER EMAIL: d zollman@hotmail.com <br />CONTRACTOR NAME: JOHNSON & SONS CONSTRUCTION <br />CONTRACTOR ADDRESS: sTREET 6618 MARINE VIEW DR <br />CITv EDMONDS STATE WA ZIP 98206 <br />CONTRACTOR PHONE: (425) 229-5616 <br />CONTRACTOR EMAIL: vtmcgee@me.com <br />CONTRACTOR LICENSE #(REQUIRED): JOHNSSC921 KZ <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 51651 <br />PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ED OTHER (Please Specify) RAINIER CONSULTING SERVICES _ <br />CONTACT NAME: <br />ERICA BLUE <br />CONTACT PHONE: 253-375-5645 <br />CONTACT EMAIL: erica@rainieres.com <br />BUILDING INFORMATION <br />Eristinc Use of Building: RESIDENTIAL <br />'Proposed Use of Building: RESIDENTIAL <br />Contract Price of Work: $ 13 O0 <br />Heat Source: ❑v Gas Electric ❑Other__ <br />BUILDING USE: 1]SFR LJTownhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ❑Commercial ❑Accessory Structure <br />Type of Project: RJNeW ❑✓ Addition ❑Remodel ❑Repair LIT. 1. ❑Sign []Sprinkler ❑Demolition ❑Change of Use <br />DESCRIPTION OF WORK: Addition to existing single family residence for a bedroom suite expansion that will include moving the <br />bedroom bathroom <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />MECHANICAL PEX"MIT <br />APPLICATION <br />PLUMBING PERMIT <br />APPLICATION <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />A/C — Aii Handling Units <br />Gas Piping <br />Backflow Preventer (Inside Bldg) <br />2 <br />Shower, Tub, or Combo <br />Boiler _ <br />Gas Range <br />Clothes Washer <br />Sink -Commercial (3-comp,prep,floor) <br />Clothes Dryer <br />Heat Pump&Ductless <br />Dishwasher <br />1 <br />Sink -Residential (kitchen,bath,bar) <br />Duct System (Remodel) <br />lRefrigeration <br />Drinking Fountain <br />Sink -Utility, laundry, mop <br />Exhaust Fans (Residential) <br />Commercial Ventilatior <br />(Not Heat/AC system) <br />Floor Drain <br />1 <br />Toilet <br />Exhaust Hood (Type 1) <br />Hose Bibb <br />g <br />Urinal <br />Exhaust Hood (Type 11) <br />Water Heater <br />Interceptor -Grease <br />Waste/Water Piping Repair <br />Exhaust Hood (Residential) <br />Wood Stove <br />Interceptor-Sand/Oil <br />Water Service (behind meter) ) <br />Forced Air Systems <br />Other: <br />Medical Gas <br />Water Valves or Fixtures <br />Gas Fireplace/Insert/Log <br />Roof Drains <br />Water Heater <br />SPRINKLER / SUPPRESSION <br />SYSTEM <br />Sewage Ejector or Sump Pump <br />v <br />Other: <br />Water Suppression System <br />No. of Heads <br />Chemical Suppression System <br />No of Heads <br />ACKNOWLEDGEMENT I have reviewed this appiicatior, and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with <br />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 <br />Building Official beiore 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 a;_plication is made, <br />and I comply with the State Contractors Law 18.27 RCW and 296.200A V✓AC. <br />i <br />City of Everett Official Use Only <br />PE IT #Lu <br />Qviner/Authorized Agent Signature bate (Revised 1011012018) <br />/1 _ <br />