1907 W MUKILTEO BLVD 2021-11-15 - Laserfiche WebLink

4477. 410 PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 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: 1907 W Mukilteo Blvd PROPERTY TAX#: 00417100004200 LEGAL for new construction: Short Plat/subdivision Replat of Block X Darlington Lot No. 42 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Rosa Connell TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1907 Mukilteo Blvd CITY Everett STATE WA ZIP 98203 OWNER PHONE: 425.864.0072 OWNER EMAIL: rosa.t.connell@gmail.com CONTRACTOR NAME: TBD CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR Vd OTHER(Please Specify) Structural Engineer-in-Training CONTACT NAME: CONTACT PHONE: 425.778.8500 Ben James CONTACT EMAIL: benj@cgengineering.com BUILDING PERMIT APPLICATION Existing Use of Building: Residential Contract Price of Work:$ 45,000 Proposed Use of Building: Residential Heat Source: ❑Gas ❑Electric DOther Building Type: 7SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel 171Repair DTI. ❑Sign ❑Sprinkler ODemolition ❑Change of Use DESCRIPTION OF WORK: Stabilize Slope with Soldier Pile Wall ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair #of #of #of #of Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixt A/C—Air Handling Units He mp Toilet Backflo venter(Inside Bldg) Forced Air Systems _ nit Heater _Bathtub Umtirra1� Gas Piping Boiler Lavatory(Wash Basin) ,,,Drinking Fountain Water Heater / _Refrigeration Shower ,,, Floor Drain Gas Fireplace 1/ Wood Stove Kitchen Sink&Dispos.I.- Grease Trap Gas Range _Ducting _Dishwasher Roof Drains Clothes Dryer H ups Other: Clothes Was Medical Gas Range Hood Water H er Other: Exhaust F Sink ervice/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water I 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 PE T h o ' /iy Ow Signature Date (Revised 9/23/2016) ati,&145e `fZ Rd(rd$_Q77