2105 LOMBARD AVE 2018-05-22 - Laserfiche WebLink

PERMIT APPLICATIO�� BUILDWG i ii�ECHANICAL 1 PLUMBING /SIGN � arRINKLER I 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 (Blue or Black Ink Only Please PROJECT SITE IINFORMATION PROJECT SITE ADDRESS: T�05 Lombard Ave PROPERTY TAX#: 00437943900200 LEGAL for new construction: Short PlaUsubdivision L.ot No. (attach copy of long legal description) CONTACT INFCIRMATION OWNER NAME: EriC Wilson TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srReEr �.105 Lombard Ave �in Everett STATE wA Zi� 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME; Almgren Construction LLC CONTRACTOR ADDRESS: sTReeT PO BOx 1384 CITY Lake Stevens STATE wA z�P 98258 CONTRACTOR PHONE: 425 367-1309 CONTRACTOR EMAIL: .lohn@almgrenconstruction.com CONTRACTOR LICENSE#(REQUIRED): ALMG$65D7 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 053145 PRIMARY CONTACT: ❑ OWNER I� CONTRACTOR ❑OTHER(Please Specify) CONTAGT NAME: GONTACT PHONE: 425 367-3?_00 John Almgren coN'rac'r Ennai�: �ohn@almgrenconstruction.com BUILDING PERMIT APPLICATION Existin Use of Buildin ; SF Residence Contract Price of Work:$ $3000 Pro osed Use of Buildin ; SF ResidenCe Heat Source: ❑Gas ❑Electric ❑Other Building T pe: C�SFR-Detached ❑SFR-Attached ❑Du lex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial T pe of Pro'ect: ❑New ❑Addition ❑Remodel C�Repair ❑T.I. ❑Si n ❑S rinkler ❑Demolition ❑Chan e of Use DESCRtPTION OF WORK: Remove sinking front concrete stairs without guard railings and install new wooden stair case with guards to meet current IRC and built in the style appropriate for the age of the home ASSOCIATED BUILQING PERMIT# if a licable): 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 tist of Fixtures #�f tist of Flxtures �#°f List of Fixfures Fixtures Fixtures Fixtures Fixtures A/C—Air Handlin Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Pi in Boiler Lavator Wash Basin) Drinkin Fountain Water Heat�r Refri eration Shower Floor Drain Gas Fire lace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Ran e Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Ran e Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER I SUPPRESSION SYSTEM Chemical or Water No. of Heads ACKNOWLEDGEMENT: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 federai,state,and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authonzed in writing from the Buildrng Official before being authorized under any circumstance. I am the owner,or!am authorized by the owner of fhis 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 � PERMIT �/ i � �o � � ) �C - ��L� /Z Ow er Auth ri ed Agent Signature Da (Revised 9/23/20?6)