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PERMIT APPLICATI <br /> BUILDINNECHANICAL/ PLUMBING /SIGSPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> R1ue oir Black Ink Only,Please) PROJECT"SITE INFORMAT1t�1�1.;' <br /> pRojEOT s ADDI 41901 W. MUKILTEO BLVD. RRoT T . ,00417100004.101. <br /> LEGAL for rraw consfructiort:--Short l?tatisubdivision Lot No (attach copy of long legal description) <br /> OWNER NAME: RICHARD AND SUZANNE SCRIVEN TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 3208 LAMESA PL. <br /> Goy:,FORT WORTHssArE TX <br /> z p 761 9 <br /> OWNER PHONE: 8i7)$'91 '5147 1 M.17)591 514 1 OWNER EMAiL: rrschv@gmiail.com l sscrly r@gmait.com <br /> CONTRACTOR NAME: LOCKHART/SUVER LLC <br /> CONTRACTOR ADDRESS: STREET 6201 ROOSEVELT WAY NE <br /> CITY SEATTLE, STATE WA zip 98115 <br /> CONTRACTOR PHONE:. 206'5457g*4 CONTRACTOR EMAIL-l urt@fetckhartsuver.corrt x 0-01 <br /> 2 �t-� <br /> CONTRACTOR LICENSE#(REQUl ED): LQCIFM1 96208 'CITY of SETT BUSINESS LICENSE#(REQUIRED) (in pro re <br /> • 'PRIMARY CONTACT: 13 OWNER I CONTRACTOR ia OTHER(Please Specify) BC AND J ARCHiTECTB <br /> CONTACT NAME: CONTACT PHONE: 206 780 9113 <br /> Kim Kiobucher CONTACT EMAIL:kimk@bcandj.com <br /> Existing Use ef.puitdihg: :SFR p CorifradtlPrice. 'f"Woos;: 1.9,Q,000- <br /> Proposed Use of Building:SFR HeatS.ource: ©Gas: ©Electric 123Other heat.pump: <br /> Building Type: ❑SFR-Detached ®SFR-Attached DDuplex ❑Multi-Family-#of Units: OCommercial ❑Industrial <br /> Type of Project: ©New OAddition 21Remodel El Repair OT.I. ❑Sign ❑Sprinkler El Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Lower the grade onthe north side of the house. Add 60 sf ofnew floor areato the kitchen on the east side ofthe house. Remodel the interior. Remove the existing roofand put ona.new roof.. <br /> •ASSOCIATED BUILDING PERIWIT#(if-appficable): <br /> 1ECHANICA PI RMIT APPLICATION`; PLUMB N€3 P,ERMiT'APPLICATION <br /> Type of Project: _New _ Addn ✓ Alteration Repair Type of Project: _New Addn ✓ Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #°f List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units 1 Heat Pump 3 Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Sysier Uaaa't Ieafer 1 Badtub Urinal <br /> Gas Piping Better L Vatary.(Wash,Easin) =0rirtkngFourrtain <br /> WaterHeater •- a Shower Floor Drain <br /> 2 'Gas Fireplace Wood-Stove + -Kitchen Sink&Disposal `Grease Trap '- <br /> 1 Gas Range Ducting i Dishwasher Roof Drains <br /> 1 Clothes Dryer Hookups Other: 2 Clothes Washer Medical Gas <br /> Range Hood Other: <br /> 3 Exhaust Fan 2 Sink(Service/Bar/Mop/etc.) Other: <br /> • <br /> Number-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 /> I 7 I 9 / City of Everett Official Use Only <br /> r <br /> l� Ar()„. <br /> '(Ytl Z /6 PERMI�# W'� ©0?) <br /> erl uthorized ,gent Sign a bate- IfRetrisect'SY23f201-0} <br /> IL J <br />