8923 EMERSON PL 2023-07-31 - Laserfiche WebLink

MN PERMIT APPLICATIO MI BUILDINECHANICAL/ PLUMBING / SIGN rISPRINKLER/ DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 2,2) c") QJ3/\_ PROPERTY TAX#:00482500002700 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: TADEGE MEBET TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTRE.r'`23 EMERSON PL CITY EVERETT STATE WA ZIP 98208 OWNER PHONE: 2062883564 OWNER EMAIL:mebettadege@yhoo.com CONTRACTOR NAME: Ow 0 L)Z._.----'') CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: DOWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:2062883564 TADEGE MEBET CONTACT EMAIL:mebettadegeayboa: m BUILDING INFORMATION Existing Use of Building: Contract Price of Wor04800.00 i Proposed Use of Building: Heat Source: ❑Gas" ❑Electric` ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: \ �❑.Cor mercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑✓Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler LJDemolition ❑Change of Use DESCRIPTION OF WORK: Garage convet to living room and living room to bed room. ASSOCIATED BUILDING PERMIT#(if applicable): Mee-ZS "VC-4\A 4:biNkit/CV\-- (..j(1. ?)\4L-e_ MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures c�unr List of Fixtures Count List of Fixtures Count List of Fixtures A/C—Air Handling yriits „I (Aids Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo 1 Boiler a 0, ' Gas Range 1 Clothes Washer Sink-Commercial(3-comp,prep,floor) 1 Clothes Dryer Q�� Heat Pump&Ductless 1 Dishwasher (, Sink-Residential(kitchen,bath,bar) 4 Duct System(Remodel) 1 Refrigeration Drinking Fountain iti ,) Sink-Utility,laundry,mop 2 Exhaust Fans(Residential) Commercial Ventilatior Floor Drain (1 U' 1 Toilet _ Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb4 Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/VVater Piping Repair -`Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) v 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 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 -� PE'1 IT# 1-71 ).64 (4 -7. ("e zi7q-, %(-02-690q -002_-- Owner/Authorized Agent Signature Datrs (Revised 10/10/2018) f l