6418 HIGHLAND DR 2021-08-26 - Laserfiche WebLink

MEI • PERMIT APPLICATION VA BUILDING / MECHANICAL / PLUMBING /SIGN /SPRINKLER/ DEMOLITION EVERETT CITY 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:6418 Highland Dr PROPERTY TAX#:00531700500602 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Firew Teshome TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREET6418 Highland Dr cITY Everett STATE WA ZIP 98203 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Owner CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) Owner's Authorized Agent CONTACT NAME: CONTACT PHONE: 425-345-2530 Dante Palmaffy CONTACT EMAIL: Dpalmaffy@aol.com BUILDING INFORMATION Existing Use of Building: SFR Contract Price of Work: $25000.00 Proposed Use of Building: SFR Heat Source: ElGas ❑Electric ❑Other BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: Commercial ❑Accessory Structure Type of Project: ❑New EAddition ❑✓Remodel ❑Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Remodel lower floor for Adult Family Home. Work includes bathroom reconfigured for hadicapped accessibility, widen doors to rooms to 3ft, add concrete walkway from the driveway to the rear of the house for emergency access. ASSOCIATED BUILDING PERMIT#(if applicable): S,.ry G2( F_P MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATIO Count re Fix-ture List of Fixtures Fix Count Fixture Fixture List of Fixtures Count List of Fixtures Count List of Fixtures A/C-Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) ,Tub,or Combo Boiler Gas Range Clothes Washer -"- owerSink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher1 Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatior Floor Drain 1 Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grea Waste/Water Piping Repair - Exhaust Hood(Residential) Wood Stove Interceptor-S- d/Oil Water Service(behind meter) Forced Air Systems Other: Medical -s Water Valves or Fixtures _ Gas Fireplace/Insert/Log Roof, rains Water Heater SPRINKLER/SUPPRESSION SYSTEM -wage 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 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 'th the State ontractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only �� PE /dO ` r O3 3 Ow r/Authorized Agen Sigi./'- -------- 1 ate (Revised 10/10/2018) i