4720 W VIEW DR 2023-05-22 - Laserfiche WebLink

Mil 0 PERMIT APPLICATION in 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:4720 W View Dr. Everett, WA 98023 PROPERTY TAX#:00605800002000 LEGAL for new construction: Short Plat/subdivision VIEW ACRES DIV 2 ELK 000 D-00 Lot No.20 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Gip, Jason TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREET4720 W View Dr. cm( Everett STATE WA ZIP 98023 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:StateWide Restoration CONTRACTOR ADDRESS: STREET 13450 NE 177th PI Cm, Woodinville STATE WA zip 98072 CONTRACTOR PHONE:81 5.494.2282. CONTRACTOR EMAIL:permits.sea@gostatewide.com CONTRACTOR LICENSE#(REQUIRED):STATER1688KH CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER D CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:815.494.2282 Mark Haertjens CONTACT EMAIL:permits.sea@gostatewide.com BUILDING INFORMATION Existing Use of Building: Contract Price of Work: 6. 2— J Proposed Use of Building: Heat Source: ❑Gas D Electric DOther BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑✓Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Fire Damage Repair. Remove and Replace Roof ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture . tuts Fixture Count List of Fixtures coupe List of Fixtures Count List of Fixtures Count List of F' es A/C—Air Handling Units Gas Pipin - Backflow Preventer(Inside Bldg) _ Shower, ,or Combo Boiler Gas nge Clothes Washer Si ommercial(3-comp,prep,floor) _Clothes Dryer , eat Pump&Ductless Dishwasher - Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain � Sink-Utility,laundry,mop _Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal _Exhaust Hood(Ty I) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood esidential) Wood Stove Interceptor-Sa Oil Water Service(behind meter) Forced Ai ystems Other: _ Medical Water Valves or Fixtures Gas F. place/Insert/Log Roof ains Water Heater SP NKLER/ SUPPRESSION SYSTEM wage Ejector or Sump Pump 2 Other: Water Suppression System Chemical Suppression System I INo.of Heads 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. `Cittyy�of Everett Official Use Only Ze' S'''0—/ C PERMI 1 OS ^ 0 25)1. Owner/Authorized A nt Ignature Date f (Revised 10/10/2018)