5408 S 2ND AVE 2019-05-22 - Laserfiche WebLink

To: Page 2 of 8 2018-03-08 18:29:35(GMT) II 18884000383 From: Northwest Permit Inc. PERMIT APPLICATION BUILDING / MECHANICAL / PLUMBING / SIGN I SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 j FAX 425-257-8857 I(E)everetteps@everettwa.gov l www.everettwa.gov/permits . +� F' .. _._ X71 I��. 4:0 :© PROJECT SITE ADDRESS: 5408 S 2ND AVE PROPERTY TAX#: 00500302600200 LEGAL for new construction: Short Plat/subdivision Lot No, (attach copy of long legal description) RgiggFR!Igagehti.. : .._ :.....:u�::-nr,-:,E:'t:'.:'::-'`i -- Vii,.'+-a.,+` : :.: ,..,, Vin' - - OWNER NAME: CRYSTAL MCCABE TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 5408 S 2ND AVE CITY Everett STATE WA ZIP 55203 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Home Depot USA,INC CONTRACTOR ADDRESS: STREET 2455 Paces Ferry Rd CITY manta STATE GA ZIP 30339 CONTRACTOR PHONE: 360-945-2787 CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): HOMED**088RH CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 57001 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: I Sd i, ',- µS':l:" _.j",,4„ ,�h ti`"!.J]kiJry F ,�, `)i• _ .T;.,:1 t .;::1 ,;,=,It,= ,.xaf, ,•34k ' :� 'S. 'ii`. `:S' �;. :i� �,d: ,'' .,7_',;�n..�, �„.s= :4:'$.`vP;i`: .;st! f :k,� Existing Use of Building: Contract Price of Work:$ 11,588.84 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other 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: Replacing 18 squares of comp and 18 squares of plywood ASSOCIATED BUILDING PERMIT#(if applicable): 4 , Type of Project: __New — Addn Alteration _Repair Type of Project: New Addn Alteration _Repair` Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures A/C–Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler 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 Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: 'Chemical or Water ' No.of Heads ACKNOWLEDGEMENT:t 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 therefiorn.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 y Digitally signed by Oyanna Sconzo PERMIT#6 I F,o - at s D a nns Seo nzOA.D�te2a,8.�3.o8,o:z8:,z_o8�ao' Owner/Authorized Agent Signature Date (Revised 9/23/2016)