810 33RD ST 2024-11-07 - Laserfiche WebLink

MI 0 PERMIT APPLICATION• BUILDING / MECHANICAL/ PLUMBING !SIGN /SPRINKLER/DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASH I NGTON (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:810 33rd St Everett, WA 98201 PROPERTY TAX#:00583978300300 LEGAL for new construction: Short Plat/subdivision Lot No.3 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Wendy Fellers TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET810 33rd St cry Everett STATE WA ZIP 98201 OWNER PHONE: OWNER EMAIL:WendyfellerS@hotmall.Com CONTRACTOR NAME:BaCk Forty Construction, LLC CONTRACTOR ADDRESS: sTREET27419 118th St SE crn, Monroe STATE WA ZIP 98272 CONTRACTOR PHONE:4255-232-3732 CONTRACTOR EMAIL:BaCk40C@msn.com CONTRACTOR LICENSE#(REQUIRED):BACKFFC914P6 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 56480 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:.425.232-3732 Shanna Clothier CONTACT EMAIL:Back Forty Construction BUILDING INFORMATION Existing Use of Building:Garage Contract Price of Work:$12,000.00 Proposed Use of Building: Garage Heat Source: ❑Gas DElectric ❑Other None BUILDING USE: EISFR ETownhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: [New ❑Addition ❑✓Remodel ❑Repair ❑T.l. ❑Sign LiSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Remove Flat roof from East half of Adjoining Garage and install Trusses. Re-enforce exsting garage as needed to Support new roof. Uncooperative Neighbors will not do anything with their side. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture I Fixture L List of Fixtures lYst of Fixtures List of Fixtures Fixture Count Count Count Count /List of Fixtures A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) _Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer . • Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Re ode!) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fa (Residential) Commercial Ventilatior Floor Drain — Toilet Exhau Cod(Type I) (Not Heat/AC system) Hose Bibb Urinal E ust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair xhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/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 property to perform the work for which application is made, and I comply with the ate Contractors Law 1 27 RCW and 296.200A WAC. City of Everett Official Use Only Je`�i/! PERMi e. b r `l7), V Owner/Authorized Agent Signature Date (Revised 10/10/2018) J