8823 HOLLY DR 539 BLDG Z 2021-12-17

PERMIT APPLICATION 0111111 . 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: 8823 Holly Dr,#539, Everett,WA 98208 PROPERTY TAX#: 008941-026-539-00 LEGAL for new construction: Short Plat/subdivision Lot (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Tyler Battrick TENANT NAME(If Commercial): N/A OWNER MAILING ADDRESS: STREET 13405 NE 184th PI CITY Woodinville STATE WA ZIP 98072 OWNER PHONE: 425-412-0926 OWNER EMAIL: TJBattrick28@gmail.com CONTRACTOR NAME: Owner CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ®OWNER ❑CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-412-0926 Tyler Battrick CONTACT EMAIL: TJBattrick28@gmail.com BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: $ $1,200 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached NI SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ONew DAddition ElRemodel ORepair ❑T.l. DSign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Replace/installed new kitchen sink,dishwasher,three bathroom sinks three toilets ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn Alteration Repair Type of Project: X New Addn Alteration Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures NC—Air Handling Units Heat Pump 3 Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove 1 Kitchen Sink&Disposal Grease Trap Gas Range Ducting 1 Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan 3 Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water 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 ofEverettOfficial Use Only UG -u-.i 05/08/18 P \ -�lJ \erlI O S — 00 O er/Authorized Agent Signature Date (Revised 9/23/2016)