3911 WETMORE AVE 2022-01-25 - Laserfiche WebLink

111.111 • PERMIT APPLICATIOP 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 PROJECT SITE ADDRESS:3911 WETMORE AVE 2B PROPERTY TAX#:00700100200200 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: JOHN HOLLOW NOT ov S NAME(Commercial): OWNER MAILING ADDRESS: STREET 3911 WETMORE AVE 2B CITY EVERETT STATE WA ZIP 98201 OWNER PHONE: 425-220-9627 OWNER EMAIL: CONTRACTOR NAME: THE HOME DEPOT CONTRACTOR ADDRESS: STREET PO BOX 105451 cin, ATLANTA STATE GA ZIP 30348 CONTRACTOR PHONE:360-945-2787 CONTRACTOR EMAIL:NAIDA@NWPERMIT.COM �J CONTRACTOR LICENSE#(REQUIRED):HOMED**088RH CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 0 D PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTRACTOR'S AGENT CONTACT NAME: CONTACT PHONE:360-945-2787 NAIDA KHAN/NORTHWEST PERMIT INC CONTACT EMAIL:NAIDA@NWPERMIT.COM BUILDING INFORMATION Existing Use of Building:MULTIFAM Contract Price of Work:$1163.88 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑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: Remove and replace 1 window. No size/structural changes. No change in clear open or style. 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) 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 Ventilatior Floor Drain 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 Water Heater SPRINKLER 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 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 Naida Khan Date aI2Y0211005.072033:04-0roo• PER r CS v LJ24 Owner/Authorized Agent Signature Date (Revised 10/10/2018) yz—