6419 CYPRESS ST 2023-06-16 - Laserfiche WebLink

_ • • PERMIT APPLICATION ILIIII 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:6419 CYPRESS ST EVERETT,WA 98203-4433 United States PROPERTY TAX#: 00393400003500 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: HALL SUSAN L TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREET6419 CYPRESS ST clTv EVERETT STATE WA ZIP 98203-4433 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:IRONSIDE CONSTRUCTION LLC CONTRACTOR ADDRESS: sTREET8214 145TH DR SE CITY SNOHOMISH STATE WA ZIP 98290 i CONTRACTOR PHONE:360-547-3135 CONTRACTOR L CONTRACTOR LICENSE#(REQUIRED):6 "or6T'- rLT'(�et4S Cf BUSINESS LICENSE#(REQUI EDl:j t 2jt Sk..4 t PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) Epsilon Construction (Design r) '_ CONTACT NAME: CONTACT PHONE:253-230-3155 Anthony Rawlings CONTACT EMAIL:rawlings_aj@live.com I BUILDING INFORMATION �F Existing Use of Building: Residential Home Contract Price of Work:r "1ry L` X k— I. '� 2J Li R�.0o Proposed Use of Building:Residential Home Heat Source: ❑Gas ElEllecctric ❑Other BUILDING USE: EISFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑✓Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ODemolition ❑Change of Use DESCRIPTION OF WORK: The proposed addition consist of a recreation room and a bath room increasing the conditioned living space of the existing home by 194 square feet. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures court List of Fixtures Count List of Fixtures Count List of Fi,-ires NC—Air Handling Units Gas Pipi.. Backflow Preventer(Inside Bldg) Shower,Tu. .r Combo Boiler Ga ange Clothes Washer Sink-C. mercial(3-comp,prep,floor) Clothes Dryer eat Pump&Ductless _Dishwasher 5• -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(Type Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(- sidential) Wood Stove ,Interceptor-Sand/Oil Water Service(behind meter) Forced Air S tems Other: Medical Gas Water Valves or Fixtures Gas Fire.ace/Insert/Log Roof Drains Water Heater SPRI LER/SUPPRESSION SYSTEM Sewa.- jector or Sump Pump _Other: Water Suppre sion 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 and 296.200A WAC. �/,� City of Everett Official Use Only A��//Y.I�{/� 9-15-20 PERMlA (Act Owner/Authorized Age Signature Date (Revised 10/10/2018) `�./`�`