302 BRIDGEWAY 2022-04-04 - Laserfiche WebLink

Elm BLDING PERMIT APPLICAAN CITY OF EVERETT PERMIT SERVICES EVERETTSUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION:(P)425.257.8810 (E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT BITE INFORMATION PROJECT SITE ADDRESS: STREET 302 Bridgeway(This property is also listed as 106 Bridgeway) PARCEL#: 00396600022700 crr Everett STATE wa zip 98201 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Kayleigh McNiel OWNER MAILING ADDRESS: STREET 624 217th St SW cry Bothell STATE wa zip 982021 OWNER PHONE:360-430-4742 OWNER EMAIL: kay.mcniel@gmail.com CONTRACTOR COMPANY NAME:Work will be completed by homeowner WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:360-430-4742 Kayleigh ts cN i e I CONTACT EMAIL:kay.mcniel@gmail.com BUILDING INFORMATION VALUATION OF WORK:$5,000 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work.whether actually paid or not.) EXISTING USE OF BUILDING:Residential PROPOSED USE OF BUILDING:Residential HEAT SOURCE: ❑Gas CIElectric ©Other oil BUILDING TYPE: ©SFR ❑Townhouse ❑Duplex ❑ADU DMulti-Family-#Units: ❑Commercial DAccessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ❑T.I. ©Change of Use DModular ❑Portable DRe-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high DRackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: Converting closet into bathroom: Closet already has lights and power. No new framing or structural changes. Plumbing for toilet, sink and shower, installing a bathroom vent/fan, and converting outlet to GFI. 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 / 7 0—/t 3/22/2021 P 1T r l.O, .. r OwnerlAuthd Agent Signature Date (Revise 2/8/2021) �\ yz_