2217 GRAND AVE 2025-05-29 - Laserfiche WebLink

PERMIT APPLICATION EVERETT WASHINGTON BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 2217 Grand Avenue PROPERTY TAX #: 00439148200900 LEGAL for new construction: Short Plat/subdivision Everett Plat Block 482 Lot No. 9-10 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Jan Bedle TENANT BUSINESS NAME (Commercial): OWNER MAILING ADDRESS: STREET2217 Grand Avenue c,Ty Everett STATE WA z,, 98201 OWNER PHONE: (425) 330-4680 OWNER EMAIL: jabedle@msn.com CONTRACTOR NAME: Evergreen Contracting CONTRACTOR ADDRESS: STREET 2531 Broadway Avenue, A CITY Everett STATE WA ZIP 98 CONTRACTOR PHONE: (425) 361-0847 CONTRACTOR EMAIL: evergreencontracting4@msn.co CONTRACTOR LICENSE #(REQUIRED): EVERGC"954BQ CITY OF EVERETT BUSINESS LICENSE #(REQUIR ): PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR O OTHER (Please Specify) Designer/Agent CONTACT NAME: Douglas Almond - NuttyCAD Drafting and Design, LLC CONTACT PHONE: (206) 225-0068 ICONTACT EMAIL: doug.almond@nuttycad.co QWN BUILDING INFORMATION t3 #S hS W61-1—'j,7 Existing Use of Building: Detached Garage Contract Price of : $ 40 000.00 5 N& 7 L7 Ef7r 'l L Proposed Use of Building: Detached Garage Heat Source: as ❑Electric EjOther Uncon ne BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family-# Units: ❑Commer 1I ❑✓Accessory Structure Type of Project: ❑✓ New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑ prinkler ❑✓ Demolition ❑Change of Use DESCRIPTION OF WORK: Construct new detached garage. ASSOCIATED BUILDING PERMIT # (if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Count List of Fixtures Fixture Count List of Fixtures Fixture Count List of Fixtures Fixture Count List of Fixtures A/C — 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 Ventilatior (Not Heat/AC system) Floor Drain Toilet Exhaust Hood (Type 1) 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 I Roof Drains Water Heater SPRINKLER / SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System I I No. of Heads Chemical Suppression System I lNo. 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. Owner/Authorized Agent Signature r r..... 01/07/2021 Date City of Everett Official Use Only P IT # -- b (Revised 1011012018) 2