1905 MCDOUGALL AVE 2023-12-15 - Laserfiche WebLink

_ 11111 PERMIT APPLICATION • uno 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:1905 McDougall Ave Everett WA PROPERTY TAX#:00438438500300 LEGAL for new construction: Short Plat/subdivisionAttached Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Renee Beasley TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREET1905 McDougall Ave Cry Everett STATE WA ZIP 98201-2458 OWNER PHONE:425-238-4878 • OWNER EMAIL:renee.beasle y@comcast.net CONTRACTOR NAME:not selected ' e . j n _ CONTRACTOR ADDRESS: STREET �� "�� CITY STATE ZIP CONTRACTOR PHONE: ONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIR : Y V\CW` ,],S.SkL CITY OF EVERETT BUSINESS LICENSE#(REQUIRED, PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR OTHER(Please Specify) Prolect Manager CONTACT NAME: CONTACT PHONE:360-961-3638 Steve Hall CONTACT EMAIL:revlveprope0 —•• cOhcast.net BUILDING INFORMATIO •%% Existing Use of Building:SFR Contract Price :f, ork:$9,000 lir Proposed Use of Building:SFR Heat Source: L74 Gas OElectric ^DOther BUILDING USE: DSFR ❑Townhouse ❑Duplex DADU ❑Multi-Family-#Units:! ❑Comm cial (]Accessory Structure Type of Project: ❑New ❑Addition )Remodel ❑Repair CT.'. ❑Sign ❑Sprinkler ❑De lition ❑Change of Use DESCRIPTION OF WORK: Add a 3/4 bathroom to second floor of house. Will require electrical work, plumbing and building of a new wall with door for privacy Q ASSOCIATED BUILDING PERMIT#(if applicable): v MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture List of Fixtures Fixture Fixture Fixture Count Count of Fixtures Count List of Fixtures Count List of Fixtures NC—Air Handling Units i Gas Piping Backflow Preventer(Inside Bldg). 1 Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher 1 Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop 1 Exhaust Fans(Residential) Commercial Ventilatior Floor Drain t 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 Fi?eplace/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 properly to perform the work for which application is made, and I comply with the State Con ctors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 21 /g PER7\�l # Q l OcA ll / Owner/Authorized Agent ignature Da a (Revised 10/1 12018) �- aT6-1.- 6 4e cl.„ t5#-,1.vJ.v R--( ec y,.)'t'a vt—