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

PERMIT APPLICATIO BUILDINAECHANICAL / PLUMBING / SIGN RINKLER/ 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: 1712 19th Street, Everett, WA PROPERTY TAX#: 00437038003101 LEGAL for new construction: Short Plat/subdivision Block 380 Lot No.32 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Evergreen Property Renewal LLC TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET PO Box 130 cry Arlington STATE WA ZIP 98223 OWNER PHONE: Dennis Wriglesworth OWNER EMAIL: northview1017@usa.com CONTRACTOR NAME: Ridgeland Custom Homes LLC CONTRACTOR ADDRESS: STREET 19010 61 st Ave. NE c,Tv Arlington STATE WA. ZIP 98223 CONTRACTOR PHONE: 425-343-4562 CONTRACTOR EMAIL: northview1017@usa.com CONTRACTOR LICENSE#(REQUIRED): 'C / ( (i L HVic,( 2 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: El OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-343-4562 Dennis Wriglesworth CONTACT EMAIL: northview1017©usa.com BUILDING INFORMATION Existing Use of Building: Single Family Residence Contract Price of Work:$ Remaing Work $90,000 Proposed Use of Building: Single Family Residence Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: DSFR ❑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: Renovation As Per Plans Submitted 7/30/2018 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 Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet 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 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 aut orized 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 Con actors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# 5 V4O Owner/ uthori ed Agent gna ure Date (Revised 10/10/2018)Lope 04,01.4e4 .`dn