6009 CADY RD 2024-05-22 - Laserfiche WebLink

PLUMBING PERMIT APPLICATION EVERETT SUBMITTAL INSTRUCTIONS: OF EVERETT PERMIT SERVICES S: 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)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 6009 Cady Rd PARCEL#: 00443100002700 clTr Everett STATE WA zIP 9$203 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential): CONTACT INFORMATION OWNER NAME:Stephanie& Sean Carl OWNER MAILING ADDRESS: STREET 6009 Cady Rd clTv Everett STATE WA zip 98203 OWNER PHONE:360-220-7275 OWNER EMAIL: CONTRACTOR COMPANY NAME:Ethan Home Repair& Remodeling, LLC WA STATE CONTRACTOR LICENSE#(REQUIRED):ETHANHR934PB CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET 1202 300th St. NE clTv Stanwood STATE WA zip 98292 CONTRACTOR PHONE:425-293-7913 CONTRACTOR EMAIL:milt@ethanhomerepair.com PRIMARY CONTACT: ❑OWNER El CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-293-7913 Milt Rye CONTACT EMAIL:milt@ethanhomerepair.com PLUMBING PERMIT INFORMATION VALUATION OF WORK: $5000 ASSOCIATED PERMIT#(if applicable): (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) BUILDING TYPE: ZISFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure DESCRIPTION OF WORK: Improving layout/placement of bath fixtures in existing bathroom, installing new fixtures, supplies, and related drains as applicable. 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: t Shower,Tub,or Combo Fire Service: ❑DCDA, Domestic Service: ❑RPBA❑DCVA Commercial Sink(3-compartment,prep,floor) Clothes Washer t Residential Sink(kitchen,bath,bar) Dishwasher Utility Sink(laundry,mop) Drinking Fountain t Toilet Floor Drain Urinal Hose Bibb 3 Waste/Water Pipe Repair Ice Maker Water Service Line(Behind meter,private side) Grease Interceptor 3 Water Valves/Fixtures Sand/Oil Interceptor Water Heater-Electric Medical Gas Water Heater-Gas Roof Drains Other(List Type): Sewage Ejector Pump/Sump Pump 1 1 Other(List Type): 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.1 am the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State_Contractors Law 18.27 RCW and 296.200A WAC. /. City of Everett Official Use Only 12/11/23 PERMIT# Owner/Authorized Agent Signature Date (Revised 4/21/2022)