1415 84TH ST SE 2022-07-21 - Laserfiche WebLink

® PERMIT APPLICATI• mi BUILDI G / MECHANICAL I PLUMBING I SIGN I 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:1415 84th Street SE Space#141 PROPERTY TAX#:00960007814100 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Robert& Jo Schomer TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET26828 Maple Valley Hwy#308 orry Maple Valley STATE WA zip 98038 OWNER PHONE: 206-501-6379 OWNER EMAIL:indigoenterprises@gmail.com CONTRACTOR NAME:Indigo Enterprises, LLC CONTRACTOR ADDRESS: sTREET26828 Maple Valley Hwy#308 crry Maple Valley STATE WA "LIP 98038 CONTRACTOR PHONE:206-501-6379 CONTRACTOR EMAIL:indi oenter rises g p @gmail.com CONTRACTOR LICENSE#(REQUIRED):INDIGEL975LW CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): NAICS 23611562116 PRIMARY CONTACT: ❑OWNER CI CONTRACTOR 0 OTHER(Please Specify)_ CONTACT NAME: CONTACT PHONE:206-501-6379 Peter Krenzke CONTACT EMAIL:indigoenterprises@gmail.com BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$6,450.00 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: DSFR El.Townhouse ❑Duplex ❑ADU ❑Multi-Fami -#Units:. ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.l. ❑Sign ❑Sprinkler I7iDemolition EChange of Use DESCRIPTION OF WORK: Demo old mobile home in mobile home park ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION CountFixtureCount Fixture Fixture List of Fixtures List of Fixtures Count List of Fixtures List of Fixtures Count 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 Ventilatior Floor Drain Toilet Exhaust Hood(Type I) (Not HeaUAC 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 Fireplace/Insert/Log Roof Drains 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.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. l I City of Everett Official Use Only 1,1. )it ( (.1 , _C1.\ l k f(2._j 2 / PE"tt► l 1.V 1/V i 1 { _ Owrfer/A thorized Agent IgnatuL Date IT (Revised 10/10/20.18)M/LQl1O— oO'-\ tior/4