4514 SEAHURST AVE 2023-10-23 - Laserfiche WebLink

40 PERMIT APPLICATION• III BUILDING I MECHANICAL/PLUMBING/SIGN/SPRINKLER I 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:4514 Seahurst Ave Everett 98203 PROPERTY TAX#:00505700000503 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Susan Abolafya TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET4514 Seahurst Ave co-v Everett STATE WA ZIP 98203 OWNER PHONE: 425-870-6649 OWNER EMAIL:suzieg466@gmail.com CONTRACTOR NAME:R&R Foundation Specialist CONTRACTOR ADDRESS: STREET 3409 McDougall Ave Suite 204 CITY Everett STATE W@rrsApecialist.net 98201 CONTRACTOR PHONE:425-626-4841 CONTRACTOR EMAIL:barbara@rrspecialist.net CONTRACTOR LICENSE#(REQUIRED):RRFOUFS829DA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 58143 PRIMARY CONTACT: ❑OWNER ID CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-626-4841 Barbara Stasiak CONTACT EMAIL:barbara@rrspecialist.net BUILDING INFORMATION Existing Use of Building:SFR Contract Price of Work:$25 371.00 Proposed Use of Building:SFR Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition LJRemodel LiRepair LJT.I. ❑Sign LJSprinkler LJDemolition ❑Change of Use DESCRIPTION OF WORK: crew will install helical piles as well as concentric piers to stabilize home only ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture 1 I List of Fixtures Fixture Coin List of FixturesCount List of Fixtures ' Count List of Fixtures count 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 Vantilatinr 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/Insert/Log Roof Drains Water Heater SP RINKLER SUPPRESSION SYSTEM, Sewage Ejector or Sump Pump Other. Water Suppression 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.lam 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 �z PER A!�) I2--- o3 I C3prt,el'it,CL ��GuQGQsrPi mzozo l/J� Owner/Authorized Agent Signature Date (Revised 10/10/2018)