304 HEATHER RD 2022-01-12 - Laserfiche WebLink

PERMIT APPLICATIOft ILE BUILDIN ECHANICAL/ PLUMBING /SIGNWPRINKLER/ 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 PROJECT SITE ADDRESS: 304 Heather RD PROPERTY TAX#: 00584900301 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Michele Martin TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 304 Heather RD CITY Everett STATE WA ZIP 98203 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Home Owner CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 360-631-7557 Michele Martin CONTACT EMAIL: Micheleam- • @aol.com BUILDING INFORMATION Building: Single FamilyHome and Carport 12,000.End..-Carport and Stairway cover replace/repair ExistingUse of g p Contract Price of Work:$ Proposed Use of Building: Single Family Home and Garage Heat Source: ['Gas ❑Ele• ric ❑Other No Heat in garage BUILDING USE: DSFR ❑Townhouse ❑Duplex DADU ❑Multi-Family-#Units: ■Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑✓Remodel ✓❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Note: This application is to start the process to correct a violation I have on Carport enclosure. Enclose Carport, and Repair/replace cover over Stairway to House back door Other Permits related:E2001-080 Furnace and AC Install;E2001-185 Electrical for AC circuit.;E2001-190 Electrical for Enclosing Carport/New Panel/move service ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture F;xpre Fixture Fixture Count List of Fixtures Court 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) --- NotHeat/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 SPRINKLERI.SUPPRESSION-.SYSTEM_ .__._- - Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System I 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!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 PERMIT rr \\ �C� /14,�. 7/3/2-0 za )w � ��Owner/ thorized Agent Signature D (Revised 10/10/2018) lz_