Laserfiche WebLink
PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 wwnv everethva org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS: <br />4624 Seahurst Ave. Everett. Wa 98203 <br />PROPERTY TAX 4 <br />00505700005107 <br />PER IT tl <br />rj—Q o <br />LEGAL for new construction Shod Pealisubdivison MAPLE HEIGHTS Lot No 3 (attach copy of long legal description) <br />OWNER Casey S Sandy Satz 77:PhonclE.-a' <br />425-3594260 <br />Address 4624 Seahurst Ave <br />cnyistate/zip Everett. Wa 98203 <br />APPLICANT:_ Owne. XOwner's Agent Contractor Contractors Agent Tenant eo -o r. ee scau•1 <br />CONTRACTOR Gaffney Construction <br />L 8 1 Llc tt COE Bus Lic p <br />Address 8105 Broadway, Everett, Wa 98203 PnonelEmad 4'S 355550011tm@gaffneyconstfuction com <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT <br />James Thomas - Archltectwdl Design Associates, P S <br />PhcneJE-marl 425 259.0661 1Ithomas@arch -design . net <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK 8 '0 <br />Ekisting Use of Building NIA HEAT SOURCE <br />Proposed Use of Budding Single Family Residence Gas- X Electric_ other <br />Building type X Single Family _ Duplex _Townhouse _ Multi -Family _ Commercial <br />Type of project X New Addition Remodel Repair T.I. Sign Sprinkler Demolition Change of Use <br />DESCRIPTION OF WORK (additional space prowdedon the back) <br />NFW 1-STORY 3 BED 4.264 SgFt RESIDENCE wl DAYLIGHT BASEMENT <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICA'i ION <br />Type of Project: X New _Addn _Alteration _Repair <br />Show Number (tl) of fixtures <br />Type of Project. �_ New _Addn _Alteration _Repair <br />Show Number (N) of Injures <br />_ <br />1 <br />A/C - air handling units <br />I T61let <br />1 <br />Forced au systems <br />3 <br />1 Dathtub <br />Gas Picing <br />5 <br />Lavatory (wash basin) <br />1 <br />Waler heater <br />1 <br />Shower <br />1 <br />Gas fire lace <br />1 <br />Kitchen sink 8 disposal <br />1 <br />Gas range <br />1 <br />Dishwasher <br />1 <br />Clothes drycr <br />2 <br />Clothes washer <br />1 <br />Range hood <br />7 <br />Lxhaust fan <br />4 <br />Sink (servlcelbal>mopletc ) <br />Heat pump <br />0 <br />BaclkBow preventer <br />Unit heater <br />0 <br />Urinal <br />Rodef <br />0 <br />Drinking Fountain <br />0 <br />Reln erabon <br />0 <br />Floor drain <br />D <br />Woodstove <br />0 <br />Grease Trap <br />1 <br />Duc!ing <br />0 <br />Roof drams <br />Other <br />0 <br />Medical Gas <br />SPRINKLER I SUPPRESSION SYSTEM <br />Other <br />Number of Heads <br />Other: <br />I hereby ceddy thal I have rend and emmaed this applrcation and know the same to be true and correct AP pro icons of laws and ommances govemrrg this type of wi,A will be complied <br />weh whether speaed herein or not The granting of a permit does not presume to give authority to violate or cancel the proyevop of any other stale or )oral aw regulating consbuctrcm <br />That 1 am authored by the owner Cl th-s property 10 pmfonr the won, for which appiraLon is made and I comply w1h the State Cmitactors Law 18 27 RCW and 296 200A WAC_ <br />/` <br />Ow prl orfzpd Agent Signature Date <br />(Revised Yc012) <br />