508 61ST ST SE 2025-01-29 - Laserfiche WebLink

.11*.E77- PERMIT APPLICATIOt'' BUILDIN 1ECHANICAL / PLUMBING / SIGH_ RINKLER / 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 Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:508 61 st ST SE, Everett, WA 98203 PROPERTY TAX#:005419-000-006-06 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Stacy or Ben Buchanan TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREET508 61st ST SE cnv Everett STATE WA ZIP 98203 OWNER PHONE:4252397123 (�OWNER EMAIL:benbucha@gmall.com CONTRACTOR NAME: -_s S � ,,a �� — CONTRACTOR ADDRESS: STREET OtA NI CtZ— C j L L.--. CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: — CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: El OWNER 0 CONTRACTOR 0 OTHER(Please Specify) ,..- CONTACT NAME: CONTACT PHONE:4252397123 Ben Buchanan CONTACT EMAIL:benbucha@gmail.com BUILDING INFORMATION Existing Use of Building:Single family dwelling Contract Price of Work: $ Proposed Use of Building:single family dwelling Heat Source: OGas DElectric DOther BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory S ur Type of Project: :New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change se DESCRIPTION OF WORK: Addition of MASTER BEDROOM, KITCHEN, DINING, FAMILY ROOM &2 BATHS yZ ezi_elt-7, 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 A/C—Air Handling Units 2 Gas Piping Backflow Preventer(Inside Bldg) i Shower,Tub,or Combo Boiler 1 Gas Range 1 Clothes Washer Sink-Commercial(3-comp,prep,floor) 1 Clothes Dryer Heat Pump&Ductless 1 Dishwasher 3 Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop 2 Exhaust Fans(Residential) Commercial Ventilation Floor Drain 2 Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair 1 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 Law 18.27 RCW and 296.200A WAC. � n City of Everett Official Use Only 1� ? ‘l I FQ b �--e) I 7 PERMIT \ 9.02 00 L Owner/Authorized Agent Signature Date (Revised 10/10/2018)