1712 19TH ST 2021-09-02 - Laserfiche WebLink

PERMIT APPLICATION AK BUILDING!MECHANICAL/PLUMBING/SIGN /SPRINKLER/DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASH I NGTON (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits r 11nk Onit ) `' PROJECT T fN,FORMATIl ,. a33 ,,. „. ,ri. PROJECT SITE ADDRESS:1712 19th Street PROPERTY TAX#: 00437038003101 LEGAL for new construction: Short Plat/subdivision Block 380 Lot No.32 (attach copy of long legal description) RML � - -ems "'h t rr" "v .. I afi,. �,'c..,.AMM . `�,,. 4 '3 y. OWNER NAME: Evergreen Property Renewal LLC TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREEr PO Box 130 cnr Arlington STATE WA zip 98223 OWNER PHONE:425-343-4562 OWNER EMAIL:rl0rthVieW1017@usa.COm CONTRACTOR NAME:Ridgeland Custom Homes LLC CONTRACTOR ADDRESS: STREET PO Box 130 Cm, Arlington STATE WA ZIP 98223 CONTRACTOR PHONE:425-343-4562 CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED):RIDGECH851 QC CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER El CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-343-4562 Dennis Wriglesworth CONTACT�EyMAIL:northyvyiew1017@usa.com Existing Use of Building:Single Family Home Contract Price of Work:$80,000 Proposed Use of Building:Single Family Home Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: OSFR ❑Townhouse ODuplex DADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑✓Remodel ❑✓Repair OT.I. ❑Sign OSprinkler ❑Demolition OChange of Use DESCRIPTION OF WORK: New Roofing,Windows and Siding,New Electrical, Plumbing and Heating System. Complete Interior Finish. ASSOCIATED BUILDING PERMIT#(if applicable): it..,£ MECHANICAL: RMIT APPLICATION lag .t ,. P'LUNM. x E I T i ICAT - . _.. Fixture Facture Fixture Fixture Count "st of Fixtures Count List of Fi- res Count List of Fixtures Count List of Fixtures 1 NC—Ai andling Units Gas P', g Backflow Preventer(Inside Bldg) 4 Shower,Tub,or Combo Boiler G -ange 1 Clothes Washer Sink-Commercial(3-comp,prep,floor) 1 Clothes Drye eat Pump&Ductless 1 Dishwasher 6 Sink-Residential(kitchen,bath,bar) Duct System(--model) Refrigeration Drinking Fountain Sink-Utility,laundry,mop 4 Exhaust Fans(R- idential) Commercial Ventilation Floor Drain 3 Toilet Exhaust Hood(Ty•. ) (Not Heat/AC system) 2 Hose Bibb Urinal Exhaust Hood(Type I 1 Water Heater Interceptor-Grease Waste/Water Piping Repair 1 Exhaust Hood(Re ''en - Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Sys - s Other: Medical Gas Water Valves or Fixtures Gas Firepla Insert/Log Roof Drains 1 Water Heater Sewage Ejector or Sump Pump Other. Water Suppres '•n System \INo.of Heads Chemical S .• : _'•n System o.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 Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# OwnerlAuthorized Agent Signature Date (Revised 10/10/2018)