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PERMIT APPLICATIOn — <br /> BUILDINd*JflFCHANICAL/ PLUMBING / SIGN ' ImRINKLER/ DEMOLITION <br /> . � CITY OF EVERETT PERMIT SERVICES <br /> �' x y 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-88571(E)everette s everettwa. ov www.everettwa. ov/ ermits <br /> P@ 9 I 9 P <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 711 RUCKER AVE, EVERETT, WA 98201 PROPERTY TAX#: 00458813600400 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: BES SON CRAIG & JAMIE L TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 711 RUCKER AVENUE <br /> cnY EVERETT STATE WA ZIP 98201-1307 <br /> OWNER PHONE: 425-258-9695 OWNER EMAIL: <br /> CONTRACTOR NAME: HANBY CONSTRUCTION CO <br /> CONTRACTOR ADDRESS: STREET 114 2ND AVENUE SOUTH, #102 <br /> CITY EDMONDS STATE WA ZIP 98020 <br /> CONTRACTOR PHONE: 425-672-8233 CONTRACTOR EMAIL: MATT@HANBYCONST.COM <br /> CONTRACTOR LICENSE#(REQUIRED): HANBYCC14434 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR El OTHER(Please Specify) ROLLUDA ARCHITECTS <br /> CONTACT NAME: CONTACT PHONE: 206-624-4222 <br /> DONN STONE <br /> CONTACT EMAIL: DONN@ROLLUDAARCHITECTS .COM <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: 111 SINGLE FAMILY DETACH Contract Price of Work: $ /16;O fl <br /> Proposed Use of Building: 111 SINGLE FAMILY DETACH Heat Source: ZIGas ❑Electric ❑Other <br /> Building Type: El SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial El Industrial <br /> Type of Project: ONew ❑Addition El Remodel El Repair ❑T.I. OSign ❑Sprinkler ❑Demolition El Change of Use <br /> DESCRIPTION OF WORK: 1 .REPLACE KITCHEN APPLIANCES & CABINETRY, & ADD A COOKING ISLAND. <br /> 2 .OPEN KITCHEN TO DINING ROOM BY ELIMINATING PORTION OF EXIST COMMON WALL. <br /> 3 . INSTALL NEW FLOORING IN 50% OF MAIN FLOOR. REMODEL ENTRY HALL AND BATHROOM. <br /> 4 .ADD CLOSET IN MASTER BEDROOM UNDER SLOPED ROOF. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn x Alteration _Repair Type of Project: _New _Addn x Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> NC-Air Handling Units Heat Pump 2 Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler 2 Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration 2 Shower Floor Drain <br /> Gas Fireplace Wood Stove 1 Kitchen Sink&Disposal Grease Trap <br /> 1 Gas Range Ducting 1 Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> 1 Range Hood Water Heater Other: <br /> 1 Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Chemical or Water I No.of Heads <br /> 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 <br /> 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 <br /> 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, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT#a( �? <br /> ( ft/ <br /> Owner/Aatheed Agent Signature Date (Revised 9/23/2016) <br />