1507 RUCKER AVE 2021-12-28 - Laserfiche WebLink

PERMIT APPLICATION • • BUILDING/MECHANICAL/PLUMBING I SIGN/SPRINKLER/DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I(E)everetteps a©everettwa.gov I https://everettwa.gov/permits (Blue or Black Ink Only Phase) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:1 507 Rucker Ave PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Shirley Whitkanack TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET1507 Rucker Ave c,TY Everett STATE Wa zi=98201 OWNER PHONE: OWNER EMAIL:SfWhltkaflaCK 9Mall.COM CONTRACTOR NAME:Carrlage Houses NW CONTRACTOR ADDRESS: sTREET4000 88th St NE clrr Marysville STATE Wa zla 98270 CONTRACTOR PHONE:3606581813 CONTRACTOR EmAIL:taylors@chnwbuilds.com CONTRACTOR LICENSE#(REQUIRED):CARRI HN821OE CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING INFORMATION Existing Use of Building:Alley Garage Contract Price of Work:$6000 Proposed Use of Building: Heat Source: DGas ❑Electric ®OtherNone BUILDING USE: ®SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ®Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ETA. ❑Sign ❑Sprinkler ®Demolition ❑Change of Use DESCRIPTION OF WORK: demolition of delapidated building and removal of overgrown shrub per City of Everett. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures counr List of Fixtures Count List of Fixtures Count List of Fixtures A/C—Air Handling Units Gas Piping Backfow 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,barl 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 Valves or Fixtures Forced Air Systems Other: Medical Gas Water Heater Gas Fireplace/Insert/Log Roof Drains 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.lam 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 of Everett Official Use Only ` r' PERMIT# • C -_.— ?)tA) 200(o -OD L Owner/Authorized went Signature Date (Revised 10/10/2018)