604 34TH ST 2023-06-23 - Laserfiche WebLink

OLT PERMIT APPLICATIOtA BUILDIN 9ECHANICAL / PLUMBING / SIGN TWPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (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: 604 34th ST PROPERTY TAX#: 00561900200100 LEGAL for new construction: Short Plat/subdivision BUCKER PARK ADD LotNo. 1 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Kristine Hofmann -- Rcl--I. ,,,-i c TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 604 34th ST city Everett STATE WA ZIP 98201 OWNER PHONE: 425-319-2468 OWNER EMAIL: krlstineehofmann@gnlall.COITI CONTRACTOR NAME: CUI(EiC---" CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER ❑ CONTRACTOR MOTHER(Please Specify) ESG Design CONTACT NAME: Elaine Groth CONTACT PHONE: 425-876-4447 CONTACT EMAIL: esg4design@gmail.COm BUILDING PERMIT APPLICATION ) Existing Use of Building: Contract Price of Work: $ « _.)C —) ` �(..0 2� Proposed Use of Building: DECK Heat Source: ❑Gas Electric ❑Other NA Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units. _, ❑Commercial ❑Industrial Type of Project: New ❑Addition ❑Remodel DRepair ❑T.I. OSign ❑Sprinkler DDemolition ❑Change of Use DESCRIPTION OF WORK: 20x30 PROPOSED NEW DECK C.-QOc S ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New Addn Alteration _Repair Type of Project: _New _Addn Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures NC—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER I SUPPRESSION SYSTEM Chemical or Water 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 PERM # ( C� 4�2c � �riCc•��J�-ROI-1 ,n• �,� CC lZ-l7 �_ to � l O uthorized Age ignature Date (Revised 9/23/2016) t 1Z