Laserfiche WebLink
• PERMIT APPLICATION <br /> BUILDING/MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits II <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:6506 Wetmore Ave Everett, WA 98203 PROPERTY TAX#:00531600003302 <br /> LEGAL for new construction: Short Plat/subdivision SP#1202-004-07 REC AFN 200706285003 Lot No.33 (attach copy of long legal description) <br /> CONTACT INFORMATION, <br /> OWNER NAME: Sintayehu Erge TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET6506 Wetmore Ave <br /> ciTy Everett STATE WA ZIP 98203 <br /> OWNER PHONE: (an )93(71 51 t 019 OWNER EMAIL: .SigiLt/q-a,de a.ou (0 30,4 ea. trd <br /> CONTRACTOR NAME:OWNER <br /> CONTRACTOR ADDRESS: STREET <br /> t CITY STATE ZIP <br /> 'CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REOUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR CI OTHER(Please Specify) Designer <br /> CONTACT NAME: CONTACT PHONE:206 775 1471 <br /> IErmias Kotu CONTACT EMAIL:emd.designpractice@gmail.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:SFR Contract Price of Work:$15 .00 L5C1 CO <br /> Proposed Use of Building: Lower level to be used for AFH (NS1) Heat Source: DGas 6Electric ❑Other <br /> BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.i. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Modification of exsting bathroom and adding grab bars to existing bathroom.Also replacing <br /> existing bedroom, bathroom do r to 36"opening door and replacing existing sliding glass door to a double French door. <br /> -b h✓ rot, - -f1A L,111 16v14 <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION ' PLUMBING PERMIT APPLICATION <br /> Future F/xrure Fixture Fixture <br /> List of Fixtures List of Fixtures Count List of Fixtures Count List of Fixtures <br /> i Count Count <br /> [..._N/A A/C—Air Handling Units N/A Gas Piping NA Backflow Preventer(Inside Bldg) N/A Shower,Tub,or Combo <br /> N/A Boiler N/A Gas Range N/A Clothes Washer N/A Sink-Commercial(3-comp,prep,floor) <br /> N/A Clothes Dryer N/A Heat Pump&Ductless N/A Dishwasher N/A Sink-Residential(kitchen,bath,bar) <br /> N/A Duct System(Remodel) N/A Refrigeration N/A Drinking Fountain N/A Sink-Utility,laundry,mop <br /> N/A Exhaust Fans(Residential) N/A Commercial Ventilatior N/A Floor Drain N/A Toilet <br /> N/A Exhaust Hood(Type I) (Not Heat/AC system) wA Hose Bibb NIA Urinal <br /> NM Exhaust Hood(Type II) N/A Water Heater N/A Interceptor-Grease wA Waste/Water Piping Repair <br /> N;A Exhaust Hood(Residential) NIA Wood Stove N/A Interceptor-Sand/Oil N/A Water Service(behind meter) t <br /> N/A Forced Air Systems N/A Other: N/A Medical Gas N/A Water Valves or Fixtures -_._.. <br /> N/A Gas Fireplace/Insert/Log N/A. N/A Roof Drains N/A Water Heater <br /> SPRINKLER/SUPPRESSION SYSTEM N/A Sewage Ejector or Sump Pump N/A Othet 1 <br /> Water Suppression System 1 N;A No.of Heads N/A <br /> Chemical Suppression System N/A No.of Heads NA <br /> 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 <br /> 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 <br /> 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, , <br /> and I comply with the State 1- Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> 1 1Qjo// oc <br /> PERMIT-26 Ill 1 0 — o4 i <br /> Owner/Authorized Age,t Signature ate (Revised 1 0/10/2018) <br />