601 LAUREL DR 2022-04-05 - Laserfiche WebLink

1111111 PERMIT APPLICATIO / PLUMBING / SIGN I RINKLER/ 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:601 LAUREL DRIVE PROPERTY TAX#:00562000000200 LEGAL for new construction: Short Plat/subdivision RUCKER PARK ADD 1Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: DAVID MILLER TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREET601 LAUREL DRIVE crry EVERETT STATE WA ZIP 98201 OWNER PHONE: Lk25 2 _ �Z 30 OWNER EMAIL: l, >e- W l� ( \ iJJLI f - _ f l�_ CONTRACTOR NAME: 1 U~N, - (:/ UAAVA&C 'e---- CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: �� 44 CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER ❑ CONTRACTOR 0 OTHER (Please Specify) CONTACT NAME: CONTACT PHONE:425.377.8786 MARTIN REIMERS, AIA CONTACT EMAIL:MREIMER @CO CEPTARCHITECTURE.COM BUILDING INFORMATION ^ Existing Use of Building:RESIDENCE Contract Price of W k:$ v Proposed Use of Building:COVERED DECK Heat Source: ❑ ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: HCommercial ❑Accessory Structure Type of Project: ❑New ❑✓Addition ❑Remodel IA Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: NEW COVERED DECK TO REPLACE EXISTING SMALLER DECK. 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 Ventilation 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 replace/Insert/Log Roof Drain Water Heater SPRINKLER /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.1 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 w' e State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 4" , /, /--?///2' PEFF(ct c c ----.0?)2 • Owner/Authorized Agent Signature Date (Revised 10/10/2018)