Laserfiche WebLink
477 . PERMIT APPLICATION. <br /> BUILDING / MECHANICAL / PLUMBING / SIGN I 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 Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:3815 Colby Ave Everett, Wa 98201 PROPERTY TAX#:4113-002-007-0005 <br /> LEGAL for new construction: Short Plat/subdivision _ Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Rodney and Lisa Lamping TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 3815 Colby Ave <br /> cm ' Everett STATE Wa ZIP 98201 <br /> OWNER PHONE: 425-339-4158 OWNER EMAIL: lisa@atyourlelsure.net <br /> CONTRACTOR NAME: Rodney and Lisa Lamping <br /> CONTRACTOR ADDRESS: STREET 3815 Colby Ave <br /> CITY Everett STATE Wa zip 98201 <br /> CONTRACTOR PHONE:425-339-4158 CONTRACTOR EMAIL:IIsa@atyourleiSure.net <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: iD OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-339-4158 <br /> Lisa Lamping CONTACT EMAIL:lisa@atyourleisure.net <br /> BUILDING INFORMATION <br /> Existing Use of Building:Single Family Residence Contract Price of Work: $15,000.00 <br /> Proposed Use of Building:Single Family Residence Heat Source: N]Gas ❑Electric DOther <br /> BUILDING USE: ElSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑✓Remodel ❑Repair CIT.!. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Remodel of non living space in basement. The basement will be remodeled to add 1 bathroom, <br /> 2 bedrooms and living room area. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) 4Shower,Tub,or Combo <br /> Boiler Gas Range 1 Clothes Washer • Sink-Commercial(3-comp,prep,floor) <br /> I Clothes Dryer Heat Pump&Ductless Dishwasher , Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> I Exhaust Fans(Residential) Commercial Ventilation Floor Drain ' Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER/ SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System No.of Heads <br /> 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 <br /> current federal,state,and focal law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> 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, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> tl <br /> / i'' -> PERMIT# of t k„.....6 Q5 <br /> Iv., '�14 D <br /> wn /Authorized Agent igna re Date (Revised 10/10/2018) <br /> I <br />