703 ALVERSON BLVD 2022-01-11 - Laserfiche WebLink

PERMIT APPLICATIO• 112 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@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION n PROJECT SITE ADDRESS:703 rR ND -iE- VV^2Sbi-'1' A (s PROPERTY TAX#:00458813500100 LEGAL for new construction: Short Plat/subdivision GRANDVIEW ADD Lot No.1-4 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: MARION SKALLEY TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET7O3 GRAND AVE CITY EVERETT STATE WA ZIP 98207 OWNER PHONE:425.330.6579 OWNER EMAIL: CONTRACTOR NAME:OWNER IS CONTRACTOR CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR El OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425.359.1035 TODD BORSETH CONTACT EMAIL:TODDBORSETH@GMAIL.COM BUILDING INFORMATION r I Existing Use of Building:SFR Contract Price of Work:$20 0 '4' 22 Proposed Use of Building:SFR Heat Source: ❑Gas lectric ❑Other BUILDING USE: DSFR ['Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑✓New ['Addition ❑Remodel ['Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ADDITION OF 349 SQ.FT. BATHROOM AND CLOSET ADDITION. Se-eeLA4Ce-1; ASSOCIATED BUILDING PERMIT#(if applicable): L oscJQ ,.3 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 G iping Backflow Preventer(Inside Bldg) 1 Shower i r ombo Boiler Gas Range Clothes Washer ' -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 1 Exhaust Fans(Reside al) Commercial Ventilation Floor Drain 1 Toilet Exhaust Hood(Ty I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hoo ype II) Water Heater Interceptor-Gres Waste/Water Piping Repair Exhaust od(Residential) Wood Stove Interceptor and/Oil Water Service(behind meter) Forc Air Systems Other: Med' Gas Water Valves or Fixtures s Fireplace/Insert/Log oof Drains Water Heater PRINKLER I'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 curr federal,stat nd local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Buil in ' be re Bing 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 c p ' t e St e Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only f 3 ..02 3"Qe19 PZTk# 13 Own u h iz d Agen Signature Date (Revised 10/10/2018)