4821 VIEW DR 2021-09-01 - Laserfiche WebLink

PERMIT APPLICATION LI 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 (Wile or Black Ink Only Please) PROJECT SITE,INFORMATION PROJECT SITE ADDRESS:4821 View Dr, Everett,WA 98203 PROPERTY TAX#: 004 05 7 oc o 0/07 00 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Dennis Kessner&Cindy Lien TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET4821 View Drive cm, Everett STATE WA ZIP 98203 OWNER PHONE: 206-384-6532 OWNER EMAIL:Iien4515@comcast.net CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑✓ OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:2 D 6 334 ... 4 c 3 'Z_. Cindy Lien-Kessner CONTACT EMAIL: J/ e-n -IY/5 0j CO M Lc S4., n e* BUILDING INFORMATION f Existing Use of Building:Home Contract Price of Work:$ (O Proposed Use of Building:Home Heat Source: I]Gas ❑Electric ❑Other BUILDING USE: I SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑✓Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: We are doing repairs due to a flood in our home from a clog in a drain 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) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher x0) Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain `` Sink-Utility,laundry,mop ' -- Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet .....r 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 I 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 with the State Contractors aw 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 1 ::,s,, 1 PE�i 1 ... y 0I5 Owner/Autho Ind Agent Signature Date (Revised 10/10/2018) IIfti w o