Laserfiche WebLink
INN PERMIT APPLICATION <br /> BUILDING / MECHANICAL/ PLUMBING /SIGN / SPRINKLER/ DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov www.everettwa.gov/permits <br /> (Blue or Black Ink Only PIe e) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: MAPLE STREET, EVERETT WA 98201 PROPERTY TAX#:00593663801200 <br /> LEGAL for new constructio9Art t'I6ubdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: 2713 MAPLE STREET, LLC TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET PO BOX 1094 <br /> cin WOODINVILLE STATE WA ZIP 98072 <br /> OWNER PHONE: 425.244.0007 OWNER EMAIL:ISMAIL�(.SEATTLE@GMAIL.COM <br /> CONTRACTOR NAME: '� \ (\QUC—f\ \ O'3C_ \ <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: //' � <br /> CONTRACTOR LICENSE#(REQUIRED): t I�yJO�"��('L(}t CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): (02-9.S10 <br /> PRIMARY CONTACT: El OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425.244.0007 <br /> ISMAIL MOHAMMAD CONTACT EMAIL:ISMAIL.SEATTLE@GMAIL.COM <br /> BUILDING INFORMATION <br /> Existing Use of Building:GARAGE Contract Price of Work:$ 120,000 — <br /> Proposed Use of Building:4 ONE BEDROOM UNITS Heat Source: OGas ❑Electric ❑Other _. <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑✓Multi-Family-#Units:4 ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New ✓❑Addition E 1Remodel ❑Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: CONVERT GARAGE I S <br /> vt1,T-o � ' F <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry, mop <br /> Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet __ <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log I Roof Drains Water Heater <br /> SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System !No.of Heads <br /> Chemical Suppression System No.of Heads <br /> 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 <br /> current federal,state,and local law. The granti o rmit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official before being authorized under y circu stance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made. <br /> and I comply with the te Contractors Law 18.2 CW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> 1 Ov � PER <br /> X 2 h 0 I <br /> Owner/Authorized ge te (Revised 10/10/2018) <br /> (12-?: <br />