2424 60TH ST SE 2022-01-27 - Laserfiche WebLink

IMI PERMIT APPLICATI BUILDINu0/ MECHANICAL / PLUMBING / SIGSPRINKLER / DEMOLITION cl) CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET, EVERETT,WA 98201 n `(2 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits V (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:2424 60TH ST. SE PROPERTY TAX#:28050500201500 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: JEFF LAURENCE TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 1316 137th St. SE CITY Mill Creek STATE WA ZIP 98012 OWNER PHONE:425.493.4742 OWNER EMAIL:jIremOdeling4U@gmail.COm CONTRACTOR NAME:JL REMODELING CONTRACTOR ADDRESS: STREET19504 24th AVE W Suite 201 CITY Lynnwood STATE WA ZIP 98036 CONTRACTOR PHONE:425.493.4742 CONTRACTOR EMAIL:jlremOdeling4U@gmail.COm CONTRACTOR LICENSE#(REQUIRED):JLREMI*981 JD CITY OF EVERETT BUSINESS LICENSE#(REQU D): , PRIMARY CONTACT: D OWNER ❑CONTRACTOR 0 OTHER (Please Specify) AGENT CONTACT NAME: CONTACT PHONE:206.660.0890 ELIZABETH CLAY CONTACT EMAIL:Elizabeth@claydesignllc.onmicrosoft.com BUILDING INFORMATION Existing Use of Building:Illegal Duplex Contract Price of Work: $100,000 Proposed Use of Building:Single Family Residence Heat Source: ❑Gas OElectric DOther BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition E1Remodel ❑Repair DTI. ❑Sign ❑Sprinkler ❑Demolition OChange of Use DESCRIPTION OF WORK: INTERIOR REMODEL OF EXISTING RESIDENCE; CONVERT ILLEGAL DUPLEX BACK TO SINGLE FAMILY RESIDENCE. ASSOCIATED BUILDING PERMIT#(if applicable): 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 Gas Piping_ . Backflow Preventer(Inside Bldg) l Shower,Tub,or Combo Boiler Gas Range I Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher 2 Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain 1 Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilation Floor Drain j 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 Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas"Fireplace/Insert/Log Roof Drains I Water Heater .SPRINKLER/ SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System INo.of Heads Chemical Suppression System I INo.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. f City of Everett Official Use Only Z I P TW 2,001 ` .)-7 ner/Authorized Agen Signature Date (Revised 10/10/2018) i/ / z_