6533 BEVERLY BLVD 2021-12-22 - Laserfiche WebLink

MN • PERMIT APPLICATION• 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©everettwagov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 6533 Beverly Blvd Everett, Wa 98203 PROPERTY TAX#: 00531600001200 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Maverick Conulsting LIC/BILY4EVER TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET P.O. Box 1154 CITY Everett STATE Wa ZIP 98206 OWNER PHONE: 425-405-3648 OWNER EMAIL: info@maverickhldgs.com CONTRACTOR NAME: rG V C , <}-s- i /e t< (les.V,S C-71-77A-,27 LL C.__ CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: El OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-275-6937 Christopher Hoagland CONTACT EMAIL: BUILDING INFORMATION Existing Use of Building: S.F.R. Contract Price of Work:$ Proposed Use of Building: Heat Source: ❑Gas DElectric ❑Other BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair DTI. ❑Sign ❑Sprinkler ❑✓Demolition ❑Change of Use DESCRIPTION OF WORK: Demolition of a 1,344 sq. ft. single family residence ASSOCIATED BUILDING PERMIT#(if applicable): 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 be'•* thorized 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/comply with the 'ate Co tractors Law 18.2 ' tr. d 296.200A WAC. City of Everett Official Use Only PERMIT#_, OwnerlAutho ed Agent Sign" Date (Revised 10/10/2018) IZ--