9 77TH PL SW 2023-04-07 - Laserfiche WebLink

• - • MIN PERMIT APPLICATION MI BUILDING/ MECHANICAL/ PLUMBING / SIGN /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:9 77th PI.S.W PROPERTY TAX#:00695000001400 LEGAL for new construction: Short Plat/subdivision Cedar ridge estates Lot No.14 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Margaret A. Lyman TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET9 77th PI. S.W. en-y Everett STATE WA ZIP 98203 OWNER PHONE:425-337-5896 OWNER EMAIL:annielyman1230@yahoo.com CONTRACTOR NAME:OWner/COntractor CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: El OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-337-5896 Annie Lyman CONTACT EMAIL:annielyman1230@yahoo.com __.-- ---- -- BUILDING INFORMATION / k .. t,tz ., _c--- „ Existing Use of Building: Contract Price o ork:$ Proposed Use of Building:ADU/single family residence Heat Source: Gas OElectric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex E1ADU FMulti-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ONew ❑Addition ❑Remodel ❑Repair DTI. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Building a 615 square foot ADU in the back/side yard. ASSOCIATED BUILDING PERMIT#(if applicable): Me J Stila)Wt � (k...*."-b-• ( 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 NC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) 1 Shower,Tub,or Combo-''' Boiler Gas Range 1 Clothes Washer Sink-Commercial(3-comp,prep,floor) _ 1 Clothes Dryer Heat P p&Ductless Dishwasher 2 Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Re'f, eration Drinking Fountain Sink-Utility,laundry,mop 1 Exhaust Fans(Residential) Commercial Ventilatior 1 Floor Drain 1 Toilet Exhaust Hood(Type I) , ' (Not Heat/AC system) 1 Hose Bibb Urinal r. 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 Gas Fireplace/Inse og 1 Roof Drain 1 Water Heater SPRINKLER OPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: . Water Suppression Sys No.of Heads Chemical Suppressio 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 l comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PE T ,�,ri 9/10/2020 q �O 08 Owner/Au orized Agent Si atu a Date (Revised 10/10/2018) y/