Laserfiche WebLink
1111 PERMIT APPLICATION. <br /> /4PF/01.4•% :-: BUILDING/MECHANICAL/PLUMBING/SIGN /SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 3706 Hoyt Ave, Everett,WA 98201 PROPERTY TAX#: 29053000401100 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Glenda Powers TENANT NAME(If Commercial): N/A <br /> OWNER MAILING ADDRESS: STREET 3706 Hoyt Ave <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 425-501-8987 OWNER EMAIL: glendalpowers@gmail.com <br /> CONTRACTOR NAME: Owner/Contractor <br /> CONTRACTOR ADDRESS: STREET Same as above <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): N <br /> P( <br /> PRIMARY CONTACT: pi OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-501-8987 <br /> Glenda Powers CONTACT EMAIL: glendalpowers@gmail.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: ResidentaiVhome F4 Contract Price of Work:$ <br /> Proposed Use of Building: Residential/home S%�� Heat Source: ❑Gas IXElectric ❑Other <br /> Building Type: RtSFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ❑New itio _ model ❑Repair ❑T.I. ['Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WO C <br /> Basement: restore f - room, and expand function of laundry to 3/4 kitchen. , one new wall heater, <br /> one new stud wall,water heater move, bathroom plumbing (drains already present), egress modification and window well installation, <br /> new insullation and drywall in bedroom. Main Floor: new clothes washer(all-in-one), mane-226-and related stove. Connecting stairs. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_ Addn _Alteration _Repair Type of Project: _New _Addn Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> NC—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler 1 Lavatory(Wash Basin) Drinking Fountain <br /> 1 Water Heater _Refrigeration 1 Shower Floor Drain <br /> Gas Fireplace — Wood Stove _ Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting r Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: 1 Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan 1 Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> (Chemical or Water ' INo.of Heads <br /> 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 <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 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, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERn# <br /> .vabliA)146 Owner/Authorized Agent Signature Da e (Revised 9/23/2016) <br />