11622 SILVER LAKE RD 2023-05-30 - Laserfiche WebLink

... • PERMIT APPLICATIO 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:11622 Silver Lake Rd #3 PROPERTY TAX#:00960011100300 LEGAL for new construction: Short Plat/subdivision Lot No (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Barry& Dee Dee Reynolds TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 26828 Maple Valley Hwy#308 ore Maple Valley STATE WA ZIP 98038 OWNER PHONE: 206-501-6379 OWNER EMAIL:indigoenterprises@gmail.com CONTRACTOR NAME:Indigo Enterprises, LLC CONTRACTOR ADDRESS: STREET 26828 Maple Valley Hwy#308 CITY Maple Valley STATE WA Zip 98038 CONTRACTOR PHONE:206-501-6379 CONTRACTOR EMAIL:indigoenterprises@gmail.com CONTRACTOR LICENSE#(REQUIRED):INDIGEL975LW CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): NAICS23611562116 PRIMARY CONTACT: ❑OWNER E]CONTRACTOR ❑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:$, 3, I({_.3 f Proposed Use of Building: Heat Source: DGas ClElectric ❑Other--_� R— BUILDING USE: E]SFR ❑Townhouse LilDuplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ©New HAddition HRemodel ❑Repair ❑T.I. LiSign ❑Sprinkler ❑Demolition Lii1Change of Use DESCRIPTION OF WORK: Installing new 20x48 MFH as SFR 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 NC-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 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/ 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 I comply with the State Contractors Law 18.27 RCW; d 296.200A WAC. J City of Everett Official Use Only fli ftww e"-`/,),/22....._ PERMIT# JkiCi 5 T 0 (2— 0.35 Own t flier se Ape\lintil oneturo Date PERMIT ,cvir big/ (v