10326 19TH PL W 2022-01-21 - Laserfiche WebLink

• PERMIT APPLICATI/ /111° .‘ BUILDING / MECHANICAL/ PLUMBING /SIGN / SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 — (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettvua.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 10326 19th PI W, Everett, WA 98204 rPROPERTY TAX#: 00710300002800 . LEGAL for new construction: Short Plat/subdivision see attached Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Glynis Gray TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 10326 19th PI"W r� !1 CRY 'Everett STATE u�',�/A ZIP 98204 OWNER PHONE: (425)220-2032 OWNER EMAIL: no email CONTRACTOR NAME: TBD 4 n (l _ T ' }\ � -e 2-e ir- l r CONTRACTOR ADDRESS: STREETiii 336-C f 1 C(hJ �e.V i CITY J a STATE 1,41 , ZIP C 3`) CONTRACTOR PHONE: CONTRACTOR EMAIL: � 11+ k (W hovnt 1-, co CONTRACTOR LICENSE#(REQUIRED): r-iti,/`f�",o);Li`) 3 CITY OF EVERETT BUSINESS LICENSE#(REQUIR PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR p OTHER(Please Specify) Designer during permitinq, Owner durin. CONTACT NAME: CONTACT PHONE: (206) 850-9323 . Kathy Zeim, K Zeim Home Design CONTACT EMAIL: kathyzejm@gm ii.COM BUILDING PERMIT APPLICATION c! Existing Use of Building:attached garage/single family residence Contract Price of Work:$ 13, t OC.�1 Proposed Use of Building: convert garage to craft room/laundry Heat Source: ❑Gas ❑Electric ❑Other Building Type: OSFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition 12Remodel ❑Repair ❑T.I. OSign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Convert existing 276 sf attached garage to a craft room. Remodel existing kitchen. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn 1/Alteration _Repair Type of Project: New _Addn 1Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures , Fixtures , Fixtures , Fixtures , A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain / Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove / Kitchen Sink&Disposal Grease Trap Gas Range Ducting / Dishwasher Roof Drains / Clothes Dryer Hookups Other: / Clothes Washer Medical Gas / Range Hood Water Heater Other: Exhaust Fan / Sink(Service/BaropQ1 tc.) Other: SPRINKLER t SUPPRESSION SYSTEM Chemical or Water 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.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 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only s /t.... . C-4 -:) s%/ PIR�I I°l 0 5--•doh Owner/Authorized Agent Signature Date (Revised 9/23/2016) '�j /�