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

14177. PERMIT APPLICATION Ak BUILDINGOECHANICAL / PLUMBING / SIGN tgr'RINKLER 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 Ww.N CONTRACTOR ADDRESS: STREET N/A c, 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: ®OWNER 0 CONTRACTOR w 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:$ 6 0 \S ©U Proposed Use of Building: RESIDENCE Heat Source: l Gas Electric ❑Other_ Building Type: VSFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units:_ a ___ ❑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): -' ` U i (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 Fib es #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air-Handling Units Heat Pump V Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler g1a} Lavatory(Wash Basin) Drinking Fountain Water Heater 71 Refrigeration i Shower Floor Drain Gas Fireplace Wood Stove 1 Kitchen Sink&Disposal Grease Trap Gas Range Ducting i Dishwasher Roof Drains Clothes Dryer Hookups Other: p Clothes Washer Medical Gas Range Hood Water Heater Other: I/ Exhaust Fan Sink(Service/Bar/ op/etc.) Other: I i SPRINKLER/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.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. /--- City of Everett Official Use Only ,+ /__ • i I�T` ) ,, PER ,V� `— �� 0. Owner/Autho zedA Signature Date O� (Revised 9/23200116))