10418 ROSEWOOD AVE 2022-07-27 - Laserfiche WebLink

PERMIT APPLICATION 41 BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / 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:10418 ROSEWOOD AVE, EVERETT WA, 98204 PROPERTY TAX#:01123000000400 LEGAL for new construction: Short Plat/subdivision Lot No.14 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Sanneh Lamin TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 10418 Rosewood Ave, CITY Everett STATE WA ZIP 98204 OWNER PHONE: 425.737.1605 OWNER EMAIL:mariamaafh@yahoo.com CONTRACTOR NAME: Owner CONTRACTOR ADDRESS: STREET crrY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR D OTHER(Please Specify) Arch Designer CONTACT NAME: CONTACT PHONE:206-775-1471 eMD Design (Ermias Kotu CONTACT EMAIL:eMD.designpractice@gmail.com BUILDING INFORMATION Existing Use of Building:SFR Contract Price of Work:$1,000.00 Proposed Usc of Building: AFH Heat Source: ❑✓Gas DElectric DOther BUILDING USE: DSFR ❑Townhouse ❑Duplex EADU (Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑✓Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Adding grab bars in existing bathrooms i 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) R5 S er,Tu or 1 ombo //' Boiler Gas Range Clothes Washer 'fink-Commercial(3%-Eorrfp,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 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 Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER I 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. City of Everett Official Use Only PERMIT-#,f_soorvveiti, Falzo 2-0 - lI T —OO\ Owner/Authorized Agent Signature / Date (Revised 10/10/2018) /4—