3604 FEDERAL AVE 2021-11-10 - Laserfiche WebLink

PERMIT APPLICATIO BUILDINAECHANICAL/ PLUMBING / SIGN nPRINKLER/ 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:3604 FEDERAL AVE PROPERTY TAX#: ',)®" . Z`)C? W W 1 n I LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: THOMAS M. RODGERS TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREET3604 FEDERAL AVE CITY EVERETT STATE WA Z,P 98201 OWNER PHONE:4252321590 OWNER EMAIL:r0dgerseverett3604 q@yahoo.com CONTRACTOR NAME:PROPERTY OWNER CONTRACTOR ADDRESS: STREET3604 FEDERAL AVE Cry EVERETT STATE WA Zip 98201 CONTRACTOR PHONE:4252121590 CONTRACTOR EMAIL:rodgerseverett3604@yahoo.com CONTRACTOR LICENSE#(REQUIRED):N/A CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): N/A PRIMARY CONTACT: El OWNER 0 CONTRACTOR El OTHER(Please Specify) SON CONTACT NAME: CONTACT PHONE:425232 1 590 ROBERT RODGERS CONTACT EMAIL:rodgerseverett3604@yahoo.com BUILDING INFORMATION Existing Use of Building:SINGLE FAMILY HOME Contract Price of Work: $ \� Z!�C- 1 Proposed Use of Building:SINGLE FAMILY HOME Heat Source: OGas ErfElectric ❑Oth) BUILDING USE: OSFR ❑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: TURNING AN UNCONDITIONED STORAGE ROOM IN THE BASEMENT INTO A LIVABLE SPACE. WORK INCLUDES REMOVING A NONLOADBEARING WALL AND ADDING INSULATION TO EXTERIOR WALLS. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Ffntu`rfe- Count List of Fixtures Count List of Fixtures List of Fixtures _Count \ List of Fixtures Count A/C—Air Handling Units Gas Piping Backflow Prevente nside rig) hower,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 rinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Wat .Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas FireplacellnserULog Roof Drains Water Heater v �l SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Surnfl Pump Other: ^ Water Suppression System I No.of Heads P 1/ 81`. 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 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 -----____I l ' / g" /—ESL' 90.2 PE 01 02.._ca Owner/Authorized Agent Signature Date (Revised 10/10/2018) J'