407 ROSE WAY 2025-01-27 - Laserfiche WebLink

4rETT PERMIT APPLICATIC BUILDING . MECHANICAL/ PLUMBING / SIGN , SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps©everettwa gov I www.everettwa.gov/permits (Blue or Black Ink Only Ploaso) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:407 ROSE WAY EVERETT, WA 98203 PROPERTY TAX#:00541900001503 LEGAL for new construction: Short Plat/subdivision PECKS BAY VIEW TRACTS Lot No. 15 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: LEMI MULUGETA A/ BEKELE TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET407 ROSE WAY CITY EVERETT STATE WA ZIP 98203 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) EMD DESIGN PRACTICE(DESIGNER) CONTACT NAME: CONTACT PHONE:206-775-1471 ERMIAS KOTU CONTACT EMAIL:EMD.DESIGNPRACTICE@GMAIL.COM BUILDING INFORMATION Existing Use of Building:SFR Contract Price of Work: $8,000 Proposed Use of Building:SFR Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: MODIFING EXISTING BEDROOMS, DINING, AND ADDING A 1/2 BATH FOR THE PURPOSE USE OF AFH. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures count List of Fixtures Count List of Fixtures Count List of Fixtures NC—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(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust 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 State Contractors w 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 7.? / :::I2O Owner/AentSig ature 18)