Laserfiche WebLink
PERMIT APPLICATIO <br /> BUILDIN ECHANICAL/PLUMBING/SIGN IMPRINKLER/DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (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:5631 10th Dr W PROPERTY TAX#:00836700002200 <br /> LEGAL for new construction: Short Piat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Nathan Crawford TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET5631 10th Dr W <br /> crrr Everett STATE WA zip 98203 <br /> OWNER PHONE:616-304-9364 OWNER EMAIL:CraWf168@gmail.com <br /> CONTRACTOR NAME:COUntry Carpenter LLC <br /> CONTRACTOR ADDRESS: smREEr2929 Larch Way <br /> crry Lynnwood STATE WA ZIP 98036 <br /> CONTRACTOR PHONE:425-744-4554 CONTRACTOR EMAIL:ronniecearley@comcast.net <br /> CONTRACTOR LICENSE#(REQUIRED):COUNTCL85OQB CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 60911 <br /> PRIMARY CONTACT: El OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:616-304-9364. <br /> Nathan Crawford CONTACT EMAIL:crawf168@gmail.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Single Family Home Contract Price of Work:$26,691 <br /> Proposed Use of Building:Single Family Home Heat Source: EGas ❑Electric OOther <br /> BUILDING USE: EISFR OTownhouse ODuplex DADU OMu ti-Family-#Units: OCommerciat OAccessory Structure <br /> Type of Project: ONew DAddition EIRemodel DRepair DT.I. OSign OSprinkler ❑Demolition OChange of Use <br /> DESCRIPTION OF WORK: Replace existing back deck with a larger deck(8'x 21')without stairs.Add roof over back deck. Replace <br /> front stairs with new front stairs using composite material, direct replacement. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Rxture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> NC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER I SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other. <br /> Water Suppression System a No.of Heads <br /> Chemical Suppression System No.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 lam 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 RC and 296.200A WAG. <br /> (City <br /> of Everett Official Use Only <br /> 7.—P/ <br /> PERbII \ `0 n? <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br /> \I2— <br />