421 51ST ST SW 2022-03-02 - Laserfiche WebLink

i C� .7r 2 Nisi • PERMIT APPLICATION 3 LI 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:421 51st Street SW PROPERTY TAX#:29043600403700 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: John Miller TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREET421 51st Street SW ore Everett STATE WA ZIP 98203 OWNER PHONE: (425) 346-4456 OWNER EMAIL: CONTRACTOR NAME:Town and Country Permabilt CONTRACTOR ADDRESS: STREET 16521 HWY 99 Suite C CITY Lynnwood STATE WA zip 98037 CONTRACTOR PHONE:(425)743-1555 CONTRACTOR EMAIL:permit_assist@permabilt.com CONTRACTOR LICENSE#(REQUIRED):TOWNCPF099LT CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 12646 PRIMARY CONTACT: El OWNER I]CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(425) 743-1555 Zoe Euster CONTACT EMAIL:permit_assist a I .c BUILDING INFORMATION Existing Use of Building: Contract Price of W rk:$$3 , 2.00 3Lk 5 U Proposed Use of Building:Garage Heat Source: ❑G ❑Electric , Ocher BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ' eEt nercial ❑Accessory Structure Type of Project: ZNew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: New, detached 24'x 30' pole garage, no heat or plumbing ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List f Fixtures Count List of Fixtures Count List of Fixtures A/C-Air Handling Units Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Corn Boiler Gas Range Clothes Washer Sink-Commer (3-comp prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-R ential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain ,$irtk-Utility,laundry,mop Exhaust Fans(Resider tial) Commercial Ventilatior Floor Drain - Toilet Exhaust Hood(Ty ) (Not Heat/AC system) Hose Bibb !' Urinal Exhaust Hood ype II) Water Heater Interceptor-Grease - Waste/Water Piping Repair Exhaustd(Residential) Wood Stove Interceptor-Sand/Oi . Water Service(behind meter) Force Air Systems Other: Medical Gas Water Valves or Fixtures G Fireplace/Insert/Log Roof ns Water Heater S RINKLER/SUPPRESSION SYSTEM ewage 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. Gt City of Everett Official Use Only C ii V 11, l 1 1° PE k.\ -O0Lk Owner/A�i horized Agent Signature Date (Revised 10/10/2018) u /_'---s