1516 MCDOUGALL AVE 2025-04-16 - Laserfiche WebLink

PLUMBING PERMIT APPLICATION EVERETT SUBMITTAL CITY OF EVERETT PERMIT SERVICES INSTRUCTIONS: Drop off hard copy completed paper application to 3200 Cedar Street 2nd Floor Intake Drop Box. WASHINGTON CONTACT INFORMATION: (P)425.257.8810 I (E)everetteps@everettwa.gov I (W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1516 McDougall Ave PARCEL#: ciTy Everett STATE WA ZIP 98201 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential): CONTACT INFORMATION ra OWNER NAME:EYE Property Investments LLC OWNER MAILING ADDRESS: sTREET2005 Pinehurst ave unit b CIN Everett STATE WA ZIP 98203 OWNER PHONE:3474792821 OWNER EMAIL:eyeprOpertyinVest@gmail.COm CONTRACTOR COMPANY NAME:A-Z Plumbing & Mechanical LLC WA STATE CONTRACTOR LICENSE#(REQUIRED):ZPLUMPM782D3 CITY OF EVERETT BUSINESS LICENSE#(REQUI D): ` DC°Lr c CONTRACTOR ADDRESS: 5TREET3148 89TH ST S v clTy Lakewood STATE wa ZIP 98 CONTRACTOR PHONE:3608656377 CONTRACTOR EMAIL: PRIMARY CONTACT: ❑OWNER ❑ CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: PLUMBING PERMIT INFORMATION VALUATION OF WORK: $2604 ASSOCIATED PERMIT#(if applicable): (Valuation shall include the prevailing fair market vplue of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) BUILDING TYPE: OSFR ❑Townhouse Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial Accessory Structure DESCRIPTION OF WORK: st flgor bathroom:cut cast iron trap arm and move toilet piping to meet upc code structures,move toilet water supply lines over, move lay piping and supply lines back into wall 2nd floor:cap off copper trap arm finish fixture installs: 1 toilet 1 lay 1 tub 1 kitchen sink PLUMBING PERMIT FIXTURE COUNT (SCOPE OF WORK) Fixture Fixture Count List of Fixtures Count List of Fixtures (Qty) (Qty) Backflow Prevention Device(Inside Building)-select devices below: t Shower,Tub,or Combo Fire Service: ❑DCDA, Domestic Service:❑RPBA❑DCVA Commercial Sink(3-compartment, prep,floor) Clothes Washer 2 Residential Sink(kitchen, bath,bar) Dishwasher Utility Sink(laundry, mop) Drinking Fountain t Toilet Floor Drain Urinal Hose Bibb Waste/Water Pipe Repair Ice Maker Water Service Line(Behind meter,private side) Grease Interceptor Water Valves/Fixtures Sand/Oil Interceptor t Water Heater-Electric Medical Gas Water Heater-Gas Roof Drains Other(List Type): Sewage Ejector Pump/Sump Pump Other(List Type): 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. City of Everett Official Use Only PERMIT 4/18/2022 �..� Owner u prized Agent Signature Date (Revised 2/8/2021)