11702 25TH AVE SE 2017-01-13 - Laserfiche WebLink

PERMIT APPLICATIO� BUILDING/MECHANICAL 1 PLUMBING/SIGN 1 SPRINKLER/DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 11702 25TH AVE S.E PROPERTY TAX#: 00400500000200 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legai description) CONTACT INFORMATION OWNER NAME: R an&Safreena Caton TENANT NAME(If Commerciaf): OWNER MAILING ADDRESS: srReer 11702 25th Ave S.E. ��n' Everett sTnTE WA Z�P 98208 OWNER PHONE: 425.422.2949 OWNER EMAIL: anc livin montessori.com CONTRACTOR NAME: Aaron Lan endorfer CONTRACTOR ADDRESS: sTREEr PO Box 6 cin' SnohOmish STATE Wq ziP gg2g� CONTRACTOR PHONE: 425.754.3534 CONTRACTOR EMAIL: aklan endorfer mail.com CONTRACTOR LICENSE#(REQuiREo): Lakincl939ns CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): P0I1dl11 PRIMARY CONTACT: �OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425.4222949 R an Caton CONTACT EMAIL: R BtIC IiVICt montessori.com BUILDING PERMIT APPLICATION Existin Use of Buildin : residence Contract Price of Work:$ Proposed Use of Buildin : recreation room Heat Source: ❑Gas �Electric OOther Building Type: ❑SFR-Detached SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler �Demolition ❑Change of Use DESCRIPTION OF WORK: Small home addition under 500 sq ft. with utility room, 1/2 bathroom and multipurpose space ASSOCIATED BUILDING PERMIT# if a plicable : �� ►". fTVb/T MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New Addn Alteration Repair Type of Project: New Addn Alteration Repair #of Lisi of Fixtures #of Lisf of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixiures Fixtures Fixtu�es A/C—Air Handlin Units Heat Pump � Toilet Backflow Preventer(Inside Bldg Forced Air S stems Unit Heater Bathtub Urinal Gas Pipin Boiler z Lavato Wash Basin Drinkin Fountain Water Heater Refri eration Shower Floor Drain Gas Fire lace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Ran e Ductin 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 ACKNOWLEDGEMEIVT:1 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 fherefrom.Deviations musf first be authorized in writing from the Building O�cial before being authorized under any circumstance.1 am the owner.or I am authorized by the owner of this property to perfomi 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 O�cral Use Only � �`/� ��O� ` PERMIT#� �� 'r D�� C!% L�-- Owne Authorized Agent Signature Date (Revised 10/12/2015) { �