1130 75TH ST SE 2023-08-08 - Laserfiche WebLink

11111111 PERMIT APPLICATION 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:1130 75TH ST SE EVERETT WA 98203 PROPERTY TAX#:003940-000-074-01 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: PHILIP GEROU TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET4175 129TH PL SE, C201 my BELLEVUE STATE WA ZIP 98006 OWNER PHONE: 425-263-1077 OWNER EMAIL:GEROU.PHILIP@GMAIL.COM CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: El OWNER ❑ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-263-1077 PHILIP GEROU CONTACT EMAIL:GEROU.PHILIP@GMAIL.COM BUILDING INFORMATION Existing Use of Building:PRIMARY RESIDENT Contract Price of Work:$15,000 Proposed Use of Building:PRIMARY RESIDENT Heat Source: OGas DElectric ❑Other BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑✓Remodel ❑Repair ❑T.I. ❑Sign Sprinkler ✓❑Demolition ❑Change of Use DESCRIPTION OF WORK: TEARING OUT OLD DRYWALL AND INSULATION. REPLACING DRYWALL AND INSULATION REFRAME PARTS OF KITCHEN AND DOWNSTAIRS BATHROOM. REFRAME MASTER BATHROOM. INSTALL WATER-HEATER. FRAME IN HALF BATH. 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 A/C—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 Ventilation 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/InserULog Roof Drains f, Water Heater SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump i`',.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 1 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 PER n� 2.____ Ov by �Phili GerouA ,c D signed pGemu Date.2920.11609'31 3-0Bo 11/24/2020 Owner/Authorized Agent Signature Date (Revised 10/10/2018)