7623 CASCADE DR 2021-12-16 - Laserfiche WebLink

PERMIT APPLICATIOP 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:7623 Cascade Dr. Everett 98203 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision _ Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Marc Bernhard TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREET7623 Cascade Dr. cirr Everett STATE WA zP 98203 OWNER PHONE: 425-350-9061 OWNER EMAIL:info@cascadeherbs.com CONTRACTOR NAME:Davidson Renovations NW CONTRACTOR ADDRESS: STREET PO Box 527 cr,, Maple Valley STATE WA zip 98038 CONTRACTOR PHONE:253-961-5625 CONTRACTOR EMAIL:DavidsonRenovationsNW@gmail.com CONTRACTOR LICENSE#(REQUIRED):DAVIDRN81 1 JQ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED)rt,A tbd PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR 0 OTHER(Please Specify) ��0 CONTACT PHONE:425-350-9061 CONTACT NAME: ((�� ``I�j��h�/ Marc Bernhard CONTACT EMAIL:info@cascadeherbs.com (J BUILDING INFORMATION Existing Use of Building:Residential Home Contract Price of Work:$68K Proposed Use of Building:Residential home Heat Source: ❑Gas OElectric DOther BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ✓❑Remodel ❑Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition EChange of Use DESCRIPTION OF WORK: Please reference approved permit#C2012-003. This is to only change contractor from Ethan Home to Davidson Renovations NW ASSOCIATED BUILDING PERMIT#(if applicable): C2012-003 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 Ventilation 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 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 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 WAD. City of Everett Official Use Only o�u:,oy s9ea or nnam aemezm PERMI #`/////_� (►�\)"2/ Marc Bernhard fete 2021.03.2412'01:25-0TM' r OI G.^//�' O`� Owner/Authorized Agent Signature Date (Revised 10/10/2018)