2323 74TH ST SE 2022-07-15 - Laserfiche WebLink

PERMIT CATION OLT BUILDING CHANICAL I PLUMBINGAPPLI I SIGN I INKLER I DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (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: 2323 74th Street SE Everett 98203 PROPERTY TAX#: 00398700200300 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: WAGAYE HIRUT & GIORGIS YAFET TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2323 74th Street SE CITY , EVERETT STATE WA ZIP 98203 OWNER PHONE: 2067782107 OWNER EMAIL: covenanthome13@yahoo.com CONTRACTOR NAME: TBD CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#( EQUIRED): PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR 'OTHER(Please Specify) DRAFTING NOR EST CONTACT NAME: CONTACT PHONE: 2062407006 JOSE PEREZ CONTACT EMAIL: DRAFTNW • MAIL. e►i BUILDING PERMIT APPLICATION Existing Use of Building: RESIDENCE Contract Price of Work: Proposed Use of Building: ADULT FAMILY HOME Heat Source: ❑Gas ❑EI tric ❑other Building Type: OSFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commerci- d Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. CI Sign CI Sprinkler CI Demolition IQthange of Use DESCRIPTION OF WORK: Convert to Adult family home ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New Addn _Alteration Repair Type of Project: _New _Addn _Alteration Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump Toilet Beddow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water I 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: thorized under any circumstance.lam the owner,or I am authorized by the owner of this property to perform the work for which application is made, and I co = with the Stab ontractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only P ZJose "- `ez 1/25/21O 2 - c&Th Owner/Authorized Agent Signature Date (Revised 9/232016)