1718 W MARINE VIEW DR 2024-10-25

PL IIBING PERMIT APPLICATIV EVERETT SUBMITTAL CITY OF EVERETT PERMIT SERVICES INSTRUCTIONS: Drop off hard copy completed paper application to 3200 Cedar Street 2nd Floor Intake Drop Box. WASHINGTON CONTACT INFORMATION: (P)425.257.8810 1 (E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET WEST MARINE VIEW DRIVE PARCEL#: 29051800300800 CITY EVERETT STATE WA ZIP 98201 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential):EVERETT YACHT CLUB CONTACT INFORMATION OWNER NAME:EVERETT YACHT CLUB OWNER MAILING ADDRESS: STREET 1720 WEST MARINE VIEW DRIVE CITY EVERETT STATE WA ZIP 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME:NW QUALITY REMODEL AND DECK WA STATE CONTRACTOR LICENSE#(REQUIRED):NWQUAQR898JL CITY OF EVERETT BUSINESS LICENSE#(REQUI D): ns 2_19 CONTRACTOR ADDRESS: STREET 15413 SR 9 CITY SNOHOMISH STATE WA ZIP §-8236- CONTRACTOR PHONE:360-668-0191 CONTRACTOR EMAIL:KIM@NWQRD.COM PRIMARY CONTACT: ❑OWNER ❑ CONTRACTOR ❑✓ OTHER (Please Specify) DESIGNER CONTACT NAME: CONTACT PHONE:425-422-4759 TERRY WI L L EY CONTACT EMAIL:AWHOMES©COMCAST.NET PLUMBING PERMIT INFORMATION VALUATION OF WORK: $19,500.00 ASSOCIATED PERMIT#(if applicable): (Valuation shall include the prevailing fair market value of at labor,materials,and equipment needed to complete the work,whether actually paid or not.) BUILDING TYPE: ❑SFR ❑Townhouse I_IDuplex ❑ADU -#Units: _ UCommercial L-lAccessory Structure DESCRIPTION OF WORK: TENENT IMPROVEMENT PLUMBING PERMIT FIXTURE COUNT (SCOPE OF WORK) Fixture Fixture Count List of Fixtures Count List of Fixtures (Qty) (Qty) Backflow Prevention Device(Inside Building)-select devices below: Shower.Tub,or Combo Fire Service: ❑✓DCDA, Domestic Service: ❑RPBA❑DCVA 2 Commercial Sink(3-compartment,prep,floor) Clothes Washer 3 Residential Sink(kitchen,bath,bar) 2 Dishwasher Utility Sink(laundry, mop) Drinking Fountain 3 Toilet Floor Drain I Urinal Hose Bibb Waste/Water Pipe Repair Ice Maker Water Service Line(Behind meter,private side) Grease Interceptor Water Valves/Fixtures Sand/Oil Interceptor Water Heater-Electric Medical Gas 1 Water Heater-Gas • Roof Drains Other(List Type): Sewage Ejector Pump/Sump Pump Other(List Type):_ A ACKNOWLEDGEMENT:1 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 Digitally signed by terry wlley 7�V1 terry Willey Date_202,_0g,Q,p.,7.D1.pp 21 pp' 9/14/2021 C Owner/Authorized Agent Signature Date (Revised 2/8/2021)