6531 CYPRESS ST 2022-10-14 - Laserfiche WebLink

MI PERMIT APPLICATION 12 BUILDINIECHANICAL/ PLUMBING /SIGN /MIR INKLER/ 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:6531 Cypress St Everett WA 98203 PROPERTY TAX#:00393400007700 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Michael Smith TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET PO Box 2415 CITY Kirkland STATE WA ZIP 98083 OWNER PHONE: 425-948-5356 OWNER EMAIL:1 keeper4me@gmail.com CONTRACTOR NAME:Chrysalis Homes, LLC CONTRACTOR ADDRESS: STREET PO Box 2415 CITY Kirkland STATE WA ZIP 98083 CONTRACTOR PHONE:425-948-5356 CONTRACTOR EMAIL:lkeeper4me@gmail.com CONTRACTOR LICENSE#(REQUIRED):CHRYSHL838J5 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 57399 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-948-5356 Mike Smith CONTACT EMAIL:ikeeper4me@gmail.com BUILDING INFORMATION Existing Use of Building:SFR Contract Price of Work:$75,000 Proposed Use of Building:SFR Heat Source: ❑Gas OElectric ❑Other BUILDING USE: EISFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition IIIRemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Building Permit for Interior remodel of existing SFR, including new plumbing & HVAC ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMITAPPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures NC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range 1 Clothes Washer Sink-Commercial(3-comp,prep,floor) 1 Clothes Dryer 1 Heat Pump&Ductless 1 Dishwasher 1 Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop 3 Exhaust Fans(Residential) Commercial Ventilatior Floor Drain 1 Toilet Exhaust Hood(Type I) (Not Heat/AC system) 2 Hose Bibb Urinal Exhaust Hood(Type II) 1 Water Heater Interceptor-Grease Waste/Water Piping Repair 1 Exhaust Hood(Residential) _Wood Stove Interceptor-Sand/Oil 1 Water Service(behind meter) Forced Air Systems _Other: Medical Gas Water Valves or Fixtures 1 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 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 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 1 comply w' the State Contracto Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PER)> T#„ ✓, ^ r- CCD/ l z/�J�//lei' C v J `[/�/,/yl`[J_ Owner Authorized Agent Signature Date (Revised 10/10/2018) 1 /