1121 LOMBARD AVE 2016-08-08 - Laserfiche WebLink

PERMIT APPLICATI BUILDIO MECHANICAL/ PLUMBING / SIG PRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES OL 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 PROJECT SITE INFORMATION PROJECT SITE ADDRESS: PROPERTY TAX#: 1121 LOMBARD AVE,EVERETT,WA 98201-1539 00547321801100 LEGAL for new construction: Short Plat/subdivision POWERS 1ST ADD BLK 218 D-00 Lot No. 11-12-1�t 66r Jpy of long legal description) CONTACT INFORMATION OWNER NAME: Jay E Wright TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2511 SCOTT CT, CITY FERNDALE STATE WA zip 98248 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: AVANT BUILDERS CONTRACTOR ADDRESS: STREET 3245 Mosquito Lk Rd CITY DEMING STATE WA zip 98244 CONTRACTOR PHONE: 360-592-0505 CONTRACTOR EMAIL: jimmiedoall@aol.com CONTRACTOR LICENSE#(REQUIRED): AVANTB*OOOJQ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑ OWNER C CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: 360-592-0505 JAMES EVERETT STUART-STEVENSON CONTACT EMAIL: jimmiedoall@aol.com BUILDING PERMIT APPLICATION Existing Use of Building: SFR porch repair Contract Price of Work: $ Proposed Use of Building: SFR Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel I5(Repair ❑T.l. []Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Repair front porch stairs and railing ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New Addn _Alteration _Repair Type of Project: New _Addn _Alteration _Repair #of #of #of #of Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures List of Fixtures Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory (Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/ SUPPRESSION SYSTEM Number of Heads 11 1 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. 1 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 wit Stale tr tors Law 18.27 RCW and 296.200A WAC. 1- /" City of Everett Official Use Only Owrier/Aut orized Agent Signature Date (Revised 10/12/2015) Y ,