Laserfiche WebLink
6 6 2.S-tf 6.7 <br /> AOLT S <br /> PERMIT APPLICATION <br /> BUILDING / MECHANICAL / PLUMBING /SIGN /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:2107 122nd Place SE, Everett, WA 98208 PROPERTY TAX#: 00539400000800 <br /> LEGAL for new construction: Short Plat/subdivision PARADISE TRACTS DIV 3 ELK 000 D-00-Lot No.8 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Kirk Klawitter TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: sTREET2107 122nd Place SE <br /> CITY Everett STATE WA ZIP 98028 <br /> OWNER PHONE: (425) 359-2316 OWNER EMAIL: <br /> CONTRACTOR NAME:Town and Country Permabilt <br /> CONTRACTOR ADDRESS: STREET 16521 HWY 99#C <br /> CITY Lynnwood STATE WA ZIP 98037 <br /> CONTRACTOR PHONE:(425) 743-1555 CONTRACTOR EMAIL:permit_assist@permabilt.com <br /> CONTRACTOR LICENSE#(REQUIRED):TOWNCPF099LT CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 1,S 0 C . <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) Permit office at Town and Country Permabilt <br /> CONTACT NAME: CONTACT PHONE:(425) 743-1555 <br /> Zoe Euster CONTACT EMAIL:permit_assist@permabilt.com <br /> BUILDING INFORMATION <br /> Existing Use of Building: Contract Price of Work:$$40,789.00 <br /> Proposed Use of Building:Garage/shop Heat Source: ❑Gas ❑Electric ❑Other <br /> BUILDING USE: USER ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑✓Accessory Structure <br /> Type of Project: ✓❑New ❑Addition ❑Remodel ❑Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: New, detached 26'x32' pole frame garage/shop , no heat or plumbing Comp rocA. ;II �V g <br /> W 1 WOG' . <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) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> 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 local 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 /> Y / , k 1 PERMIT# <br /> lb I OPI <br /> Owner/Au: errized Agent Signature ate (Revised 10/10/2018) <br /> �i` <br />