Laserfiche WebLink
40 PERMIT APPLICATIONS <br />EVERETT <br />WASHINGTON <br />BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 i FAX 425-257-8857 i (E) everetteps@everettwa.gov i www.everettwa.gov/permits <br />(Blue or Black Ink Only Plea e) * PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: 3 1 st Drive SE, Everett 98204 <br />PROPERTY TAX #:00396900000600 <br />LEGAL for new construction: Short Plat/subdivisionTR 6 -Broadway Crest Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: TENANT BUSINESS NAME (Commercial): <br />OWNER MAILING ADDRESS: STREET <br />CITY Everett STATE V1/a ZIP 98204 <br />OWNER PHONE: 4252322597 <br />1OWNER EMAIL:Anvar@AECOnstructionpro.COm <br />CONTRACTOR NAME: NIA <br />CONTRACTOR ADDRESS: STREET C)� <br />CITY STATE VtJ Ul zip 1" <br />CONTRACTOR PHONE: <br />CONTRACTOR EMAIL: <br />CONTRACTOR LICENSE # QUIRED): GD L <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED . D g <br />PRIMARY CONTACT: El OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Anvar Erkabaev <br />CONTACT PHONE:4252322597 <br />CONTACT EMAIL:Anvar@AEconstructionpro.com <br />BUILDING INFORMATION <br />Existing Use of Building: N/A <br />lContract Price of Work: $ <br />Proposed Use of Building:Single Family Residence <br />Heat Source: E]Gas ❑Electric ❑Other <br />BUILDING USE: EISFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ❑Commercial ❑Accessory Structure <br />Type of Project: ❑✓ New ❑Addition ❑Remodel ❑Repair LIT. 1. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br />DESCRIPTION OF WORK: Construction of a new Single Family Residence and an associated driveway with drainage <br />improvements. jjp,� e-VA% gsr f- =E;' QA,�.h <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />MECHANICAL PERMIT <br />APPLICATION <br />PLUMBING PERMIT <br />APPLICATION <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />A/C — Air Handling Units <br />Gas Piping <br />Backflow Preventer (Inside Bldg) <br />4 <br />Shower, Tub, or Combo <br />Boiler <br />1 <br />Gas Range <br />1 <br />Clothes Washer <br />Sink -Commercial (3-comp,prep,floor) <br />1 <br />Clothes Dryer <br />1 <br />Heat Pump&Ductless <br />1 <br />Dishwasher <br />6 <br />Sink -Residential (kitchen, bath, bar) <br />Duct System (Remodel) <br />fri i <br />Drinking Fountain <br />1 <br />Sink -Utility, laundry, mop <br />Exhaust Fans (Residential) <br />Commercial Ventilatior <br />(Not HeaUAC system) <br />Floor Drain <br />3 <br />IToilet <br />1 <br />Exhaust Hood (Type 1) <br />Hose Bibb <br />jurinal <br />Exhaust Hood (Type II) <br />2 <br />Water Heater <br />Interceptor -Grease <br />Waste/Water Piping Repair <br />Exhaust Hood (Residential) <br />Wood Stove <br />Interceptor-Sand/Oil <br />Water Service (behind meter) <br />Forced Air Systems <br />Other: <br />Medical Gas <br />Water Valves or Fixtures <br />2 <br />Gas Fireplace/Insert/Log <br />I <br />Roof Drains <br />SPRINKLER / SUPPRESSION <br />SYSTEM <br />Sewage Ejector or Sump Pump <br />I <br />Other: <br />Water Suppression System <br />I <br />No. of Heads <br />Chemical Suppression System <br />I <br />lNo. of Heads <br />ACKNOWLEDGEMENT I have reviewed this applicatiorland confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with <br />current federal, state, and local law. The granting of a ffermit only authorizes approved work and no deviations therefrom. Deviations must first be authorized in writing from the <br />Building Official before being authorized und67a y cAumstance. I am the owner, or I am authorized by the owner of this property to perform the work for which application is made, <br />and I comply with the State Con tr s a 1 .27'RCW and 296.200A WAC. <br />j �/ City of Everett Official Use Only <br />D rO l <br />Owner/Authorized /{(gent Date (Revised 1011012018) <br />