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

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 cry 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 IJCENSE#(REQUIRED): PRIMARY CONTACT: CI OWNER 0 CONTRACTOR 0 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:$10,00 Proposed Use of Building:PRIMARY RESIDENT Heat Source: ElGas DElectric DOther BUILDING USE: OSFR ❑Townhouse ❑Duplex OADU ❑Multi-Family-#Units: DCommercial DAccessory Structure Type of Project: ONew DAddition 1✓Remodel ❑Repair T.I. ❑Sign DSprinkler ❑Demolition DChange 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. 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 st of Fixtures A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) S r,Tub,or Combo Boiler Gas Ran Clothes Sher Sink-Commercial(3-comp,prep,floor) Cla hes Dryer Hea ump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Re del) efrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residentia Commercial Ventilation Floor Drain Toilet Exhaust Hood(Type I) eat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) 1 Water Heater Interceptor-Grease aste/Water Piping Repair Exhaust Hood(Res' ntial) Wood Stove Interceptor-Sand/O' Wat ervice(behind meter) Forced Air Sys s Other: Medical Gas Water Valy r Fixtures Gas Firepl /Insert/Log Ro rai 1 Water Heater SPRIN ER I SUPPRESSION SYSTEM Se :•e Eje tor or Sump Pump Other: Water Suppr ystem Chemical Suppression System (No.No.of 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 PERMIT n 'n _O I Philip Gerou °te ;;°,4 3113 11/24/2020 L L Owner/Authorized Agent Signature Date (Revised 10/10/2018)