130 W INTERCITY AVE 2025-04-15 - Laserfiche WebLink

grr PERMIT APPLICATION BUILDING..ECHANICAL/ PLUMBING /SIGN IVIRINKLER I 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: 130 W Intercity Ave PROPERTY TAX#: 00480300601512 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Lydia Kebaya TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 130 W Intercity Ave CITY EVERETT STATE WA ZIP 98204 OWNER PHONE: 2063495032 OWNER EMAIL: LMORAA53@YAHOO.COM CONTRACTOR NAME: TBD 0 Wl/u-Y' CONTRACTOR ADDRESS: STREET N/A CITY N/A STATE N/A ZIP N/A CONTRACTOR PHONE: N/A CONTRACTOR EMAIL: N/A CONTRACTOR LICENSE#(REQUIRED): N/A CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): N/A PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 2062407006 JOEY PEREZ CONTACT EMAIL: DRAFTNW@GMAIL.COM BUILDING PERMIT APPLICATION Existing Use of Building: RESIDENCE Contract Price of Work:$ •S,< 00 % U Proposed Use of Building: RESIDENCE Heat Source: EIGaS dElectriC ❑Other Building Type: BSFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Add a bonus with bar,office and game area and bath/util. ASSOCIATED BUILDING PERMIT#(if applicable): c` _ - A MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration( Repair #of List of Fixtures #of List of Fixtures #of\ List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures NC—Air Handling Units Heat Pump i Toiler,, ,,Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub / Urinal Gas Piping Boiler i Lavatory(Wash Basin) f// Drinking Fountain Water Heater a Refrigeration I Shower % Floor Drain Gas Fireplace Wood Stove i Kitchen Sink&Dispo I Grease Trap Gas Range Ducting i Dishwasher /� Roof Drains Clothes Dryer Hookups Other: I Clothes Washer Medical Gas Heeler Range Hood Water Other: it Exhaust Fan Sink(Service/Bar/ op/etc.) 04ter: I / I ' SPRINKLER I SUPPRESSION SYSTEM Chemical or Water I 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.lam 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. City of Everett Official Use Only ` � i /'off 7 ,.,�',.. � I � PER - -4.-- Owner/Authotized A Signature Date (Revised t/23/2016)