820 88TH PL SW 2021-11-08 - Laserfiche WebLink

PERMIT APPLICATIO• LI ill BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER / 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:820 88th PL SW, Everett, WA 98204 PROPERTY TAX#:00743700003800 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: ARIAS SALVADOR/CAROTHERS JESSICA TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET820 88th PL SW crry Everett STATE WA ZIP 98204 OWNER PHONE: 425-345-7385 OWNER EMAIL:jcarothers98204@comcast.net CONTRACTOR NAME:Owner CONTRACTOR ADDRESS: STREET N/A CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED):N/A CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER ❑ CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-345-7385 Jessica Arias CONTACT EMAIL:jcarothers98204@comcast.net BUILDING INFORMATION Existing Use of Building:Patio cover f QP. A evi z-- Contract Price of Work: $ Proposed Use of Building: SCE, Heat Source: OGas ❑Electric ❑Other BUILDING USE: ❑SFR 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: Build roof over existing patio PO )( \•1, )(f3 a'd rat=11-i , 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 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 x. _ 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.I am the owner,or/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. 10 1 City of Everett Official Use Only ( 2-41. DO-1-01-3 Q J PERM # •wner/A thorized Agent Signature Date (Revised 10/10/2018) )7�v0L( l