1502 100TH ST SW 2023-12-11 - Laserfiche WebLink

47-7- BUILDING`PIECHANICAL/ PLUMBINGPERMITAPPLIC / SIGATION RINKLER/ 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: 1 502 100TH ST SW , EVERETT, WA 9820,1-2614 PROPERTY TAX#: 00552400600700 LEGAL for new construction: Shod Plat/subdivision Lot No (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: HIRRA BELETE / BEZAHERA KASAHUN TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1502 100TH ST SW CITY , EVERETT STATE WA ZIP 98204 OWNER PHONE: 2065719533 OWNER EMAIL: belete.hirra@yahoo.com CONTRACTOR NAME_-T_B0-_=- CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR OTHER(Please Specify) JOEY DESIGN LLC CONTACT NAME: CONTACT PHONE: 2062407006 JOSE PEREZ CONTACT EMAIL: DRAFTNW@GMAIL.COM BUILDING PERMIT APPLICATION Existing Use of Building: RESIDENCE Contract Price of Work: $ 60,000.00 Proposed Use of Building: ADULT FAMILY HOME Heat Source: ❑Gas ❑Electric ❑other Building Type: IaSFR-Detached ❑SFR-Attached El Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. OSign ❑Sprinkler ❑Demolition 1 "Change of Use DESCRIPTION OF WORK: Convert to Adult family home 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 A/C—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 /SUPPRESSION SYSTEM Chemical or Water ' [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 PERMIT# Jose Perez 1/25/22 2 do 1 ` O 9 Owner/Authorized Agent Signature Date (Revised 9/23/2016) ' j�7