1526 LOMBARD AVE 2017-06-13 - Laserfiche WebLink

PERMIT APPLICATION BUILDINGfi1VIECHANICAL/ PLUMBING / SIGN / SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 OL (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: 1 526 Lombard Ave PROPERTY TAX#: 00553631802300 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Enfort Hordes, LLC TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 8512 122nd Ave NE #221 crry Kirkland STATE WA zip 98033 OWNER PHONE: 425-879-4417 OWNER EMAIL: Gregg EnfortHomes.com CONTRACTOR NAME: Enfort Homes, LLC CONTRACTOR ADDRESS: STREET 8512 122nd Ave NE #221 c1Tv Kirkland STATE WA zip 98033 CONTRACTOR PHONE: 425-879-4417 CONTRACTOR EMAIL: Gregg E nfortHomes.com CONTRACTOR LICENSE#(REQUIRED): ENFORHL843JD CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): (i)It J PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-879-4417 Greg Lynch CONTACT EMAIL: Gregg EnfortHomes.com BUILDING PERMIT APPLICATION Existing Use of Building: SFR Contract Price of Work:$ 10,000.00 Proposed Use of Building: SFR Heat Source: V]Gas ❑Electric ❑Other Building Type: VISFR-Detached ❑SFR-Attached ❑Du lex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ORemodel ❑Repair ❑T.I. []Sign ❑Sprinkler ❑Demolition ❑Chan e of Use DESCRIPTION OF WORK: Convert a bedroom to a bathroom 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 List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump i Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater 1 Bathtub Urinal Gas Piping Boiler 1 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 ookups Other: Clothes Washer Medical Gas Ran a Hood Water Heater Other: Exhaust Fan Sink (Service/Bar/Mop/etc. Other: SP ER/ SUPPRESSION SYSTEM Number 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 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 -)171--3A7 l!�~ dCC7 Owner/Authorised Agen i n tur Dat (Revised 9/23/2016)