6214 BROADWAY 2021-12-23 - Laserfiche WebLink

s EVERETT WASHINGTON PERMIT APPLICATIO BUILDINGAECHANICAL / PLUMBING / SIGN NIPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:6214 Broadway Everett, WA 98203 PROPERTY TAX #:00544801201601 / LEGAL for new construction: Short Plat/subdivision? WC-- 0k-ST 1��1/ �1 Lot o^ J 6 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: STEVEN HENRY GOOD SR TRUST TENANT BUSINESS NAME (Commercial): OWNER MAILING ADDRESS: ST111T10901 51 ST AVE SE ,,Ty EVERETT STATE WA 1,98208 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:STATEWIDE RESTORATION CONTRACTOR ADDRESS: STIEET25713 74TH AVE S. c,, KENT STATE WA ziP 98032 CONTRACTOR PHONE:206-841-4702 CONTRACTOR EMAIL:NICK.YERMA@GOSTATEWIDE.COM CONTRACTOR LICENSE #(REQUIRED): STATE RI866KH CITY OF EVERETT BUSINESS LICENSE #(REQUIRED):] Zf PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR 0 OTHER (Please Specify) ARCH ITECT-WOODWAY HOMES INC CONTACT NAME: Dean Dariotis/Alex Dariotis CONTACT PHONE:425-772-3167/ 425-773-4.356 CONTACT EMAIL:DEANDARIOTIS@GMAIL.COM/ dariotis2@gmai1.com BUILDING INFORMATION Existing Use of Building:duplex Contract Price of Work: $ V5. 000 Proposed Use of Building:SFR Heat Source: ❑Gas DElectric ❑Other BUILDING USE: EISFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel QRepair LIT. 1. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ` ,n tql 1L T- Akoe 1v tfvv S .E . N EW i�-WF WT144v�- F I rA ISO S - NS,1 S7Otrl (r , E�tII �D SAY! �Y ASSOCIATED BUILDING PERMIT # (if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Count List of Fixtures Fixture Count List of Fixtures Fixture Count List of Fixtures Fixture 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 (Not Heat/AC system) Floor Drain Toilet Exhaust Hood (Type 1) 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 lWater Valves or Fixtures Gas Fireplace/Insert/Log I 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 B` hiding Official before being authorized under any circumstance. / am the owner, or I am authorized by the owner of this property to perform the work for which application is made, a4d 1 comply with tha-State Contractors Law 18.27 RCW and 296.200A WAC. nature City of Everett Official Use Only PERMIT # 3 o®$-00� (Revised 1011012018) I