5409 S 2ND AVE 2025-12-12 - Laserfiche WebLink

PERMIT APPLICATION BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I 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: 5409 s 2nd ave PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Michael DePhlllips TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREET 5409 s 2nd ave c y Everett STATE WA ZP 98203 OWNER PHONE: 412-720-8453 1OWNER EMAIL: dephllllpsmichael@gmall.COm CONTRACTOR NAME: owner CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: EI OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING INFORMATION Existing Use of Building: Residential-4 Bathrooms Contract Price of Work:$ Proposed Use of Building: Residential - 3.5 Bathrooms Heat Source: []Gas ❑Electric []Other BUILDING USE: EISFR ❑Townhouse ❑Duplex OADU ❑Multi-Family-*Units: []Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ✓❑Remodel ❑Repair ETA. ❑Sign OSprinkler ❑✓Demolition ❑Chan e of Use DESCRIPTION OF WORK: Remodel a 2 bathroom area into a 1.5 bathroom area by re-configuring dividing wall,and removing small partition wall by toiletsad ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Facture Fixture Fixture Count List of Fixtures count ListofT=ixtures Count List of Fixtures Count List of Fixtures A/C—Air Handling Units Gibs Piping Backflow Preventer(Inside Bldg) 2 Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-CommerpWa 3-comp,prep,floor) Clothes Dryer Heat PumpBDuctless Dishwasher 2 Sink-Residential(kitchen,bath,bar) 2 Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop 2 Exhaust Fans(Residential) Commercial Verrtilatior Floor Drain Toilet Exhaust Hoo¢(Type 1) (Not Heat/AC system) Hose Bibb Urinal Exhaus:Hood(Type 11) 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 Roof Draipe Water Heater SPRINKLER/SUPPRESSION SYSTEM jse. ge Ejector or Sump Pump Other. Water Suppression System I No.of Heads Chemical Suppression System 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/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 16.27 RCW and 296.200A WAC. City of Everett Official Use Only r ` PE!!j1fjpgr Owner/Authorized A ent Signature Date (Revise 10/10/2018)