2101 LEXINGTON AVE 2021-09-24 - Laserfiche WebLink

IMNI PERMIT APPLICATION BUILDINGSECHANICAL/PLUMBING I SIGN /WRINKLER/DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASH 1 N G TO N (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: 2101 Lexington Ave Everett, WA 98203 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Anna Hanegan-Crow TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: smEET 2101 Lexington Ave crry Everett STATE WA zip 98203 OWNER PHONE:425-404-0918 OWNER EMAIL: anabobanabean3@hotmail.com CONTRACTOR NAME: Emerald City Dream Homes LLC CONTRACTOR ADDRESS: STREET 11014 19th Ave SE Suite 8-98 crry Everett STATE WA zip 98208 CONTRACTOR PHONE: 425-876-4014‘ 40/ CONTRACTOR EMAIL: emeraldcityconStruction@gmall.COm CONTRACTOR LICENSE#(REQUIRED): , EMERACD894J5 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 60843 PRIMARY CONTACT: ❑OWNER Cl CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-876-4014 Liem Tran CONTACT EMAIL: emeraldcity struc' n@gmail.com BUILDING INFORMATION Existing Use of Building: Patio cover Contract Price of W :$5,000 Proposed Use of Building: New patio cover Heat Source: ❑ as DElect' ❑Other BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ommercial ❑Accessory Structure Type of Project: ❑New ❑Addition ✓❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Remove existing rear patio cover and build new patio cover in the same area. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture rime Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures NC—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 Ventilatior 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 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 St Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 0 PER[ 2 s.....64,2_____ -- 05/12.4(4_ Owner/Author zed Agent S gnature Date (Revised 10/10/2018)