7514 EVERGREEN WAY 2021-09-22 - Laserfiche WebLink

PERMIT APPLICATION BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES -7 ' l 3200 CEDAR STREET,EVERETT,WA 98201 (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: 7514 Evergreen Way PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): t"A-C lr S OWNER MAILING ADDRESS: STREET l CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Mibre Plumbing CONTRACTOR ADDRESS: STREET 34 Chick Rd CITY Camano Island STATE WA zip 98282 CONTRACTOR PHONE: 360.840.7268 CONTRACTOR EMAIL: mike@mibre2010.com CONTRACTOR LICENSE#(REOUIRED): MIBREP*905PN CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):O l 0 PRIMARY CONTACT: ❑OWNER if'CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425.327.3817 Corstone -Greg CONTACT EMAIL: BUILDING PERMIT APPLICATION Existing Use of Building: (-- li.")14-(41.1. ✓t k-f Contract Price of Work:$ Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: Commercial ❑Industrial Type of Project: ONew 0 'ion ❑Remodel ❑Repair ❑T.l. OSign ❑Sprinkler ❑Demo Lion ❑Chance of se DESCRIPTION OF WORK: 26 I m.foev.s ASSOCIATED BUILDING MIT#(if applic ble): B1808-009 ti MECHANICAL PERMIT APPLICA PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn .LAIteration Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures NC—Air Handling Units Heat Pump Z. Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler '... Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas 1 t, Range Hood Water Heater I Other. thud(r aryh ot Rpfrc Exhaust Fan 1 Sink(Service/Bar/Mop/etc.) Other: 41 SPRINKLER/SUPPRESSION SYSTEM I.Chemical or Water ' 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.lam 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 PERMIT1P--e /Aut ed A Signature Date (Revised 9/2312016)