Laserfiche WebLink
PERMIT APPLICATIONS <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 I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:2405 75th St SE, Everett, WA 98203 PROPERTY TAX#:00398700301500 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Mohamed Abdelaziz /rUtvl% 6r}sr1( „,C-L TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET2375 130TH AVE NE STE 101 <br /> CITY BELLEVUE STATE WA ZIP 98005 <br /> OWNER PHONE: 425-591-2971 OWNER EMAIL:mfawzymkh@hotmail.Com <br /> CONTRACTOR NAMEyTBD '7l Lo '� � n a --4 avt <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE; -=— CONTRACTOR EMAIL: k <br /> CONTRACTOR LICENSE#(REQUIRED):i l'f ` J qO5. CITY OF EVERETT BUSINESS LICENSE#(REQU(RED): • • <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑� OTHER(Please Specify) Architect <br /> CONTACT NAME: CONTACT PHONE:425-242-0369 <br /> J3 Architects- Neil Jorgensen CONTACT EMAIL:veil@j3-I1c.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Garage Contract Price of Work:$10,000 <br /> Proposed Use of Building:Garage Heat Source: ❑Gas ❑Electric ❑Other <br /> BUILDING USE. ❑SFR ❑Townhouse ❑Duplex ADU ❑Multi-Family-#Units: ❑Commercial ❑✓Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ElSign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Interior remodel of existing garage. Proposed new 240 amp elect. panel. <br /> 1-c1(_%11C\CO,*k l Vein ICY If1 r N ic�nc <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 Fi •res Count List of Fixtures Count List of Fixtur- <br /> A/C—Air Handling Units Gas Pi.' g Backflow Preventer(Inside Bldg) Shower,Tub,or C•• •o <br /> Boiler Ga 'ange _ Clothes Washer Sink-Commer (3-comp,prep,floor) <br /> Clothes Dryer 'eat Pump&Ductless Dishwasher Sink-Res--ntial(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain - Sin . ility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilation Floor Drain '.ilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Typ- Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood -sidential) Wood Stove Interceptor-Sand/Oil _ Water Service(behind meter) <br /> Forced Air 'stems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fir-•lace/Insert/Log Roof Drains Water Heater <br /> SP• 'KLER I SUPPRESSION SYSTEM Sewage Ejector.. ump Pump Other: <br /> • <br /> Water Sup• ession System No.of Heads <br /> Chemi - Suppression System No.of Heads <br /> A NOWLEDGEMENT:I have reviewed this application and confirm the information contained h: ein is true and correct. Work done pursuant to this permit must comply with <br /> current federal,state,and local law. The granting of a permit only authorizes approved work and o deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official before being authorized under any circumstance.I am the owner,or/am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> 4014-- <br /> 12/17/19 PERMIT# 005 <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br />