10025 23RD DR SE 2019-06-12 - Laserfiche WebLink

PERMIT APPLICATION BUILDING/MECHANICAL/PLUMBING 1 SIGN I SPRINKLER I DEMOLITION / CITY OF EVERETT PERMIT SERVICES I'A' y, 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits jBIue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:10025 23RD DR SE, Everett,WA 98208 PROPERTY TAX#:28052000204800 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Nathanial Komohana TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 10025 23RD DR SE cn-y Everett STATE WA ZIP 98208 OWNER PHONE: 808-953-9566 OWNER EMAIL: nkomohana@gmail.com CONTRACTOR NAME: OC-)ft\)bl" i CONTRACTOR ADDRESS: STREET CRY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTORLICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: GI OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: Nathanial Komohana CONTACT PHONE: 808-953-9566 CONTACT EMAIL: nkomohanaggmail.com BUILDING PERMIT APPLICATION Existing Use of Building: SFA Contract Price of Work:$ •IO, 0-PV Proposed Use of Building: SFR Heat Source: ❑Gas DElectric ❑Other Building Type: Ir7SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition (Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Remove load bearing wall and replace with beam relocate sink to new kitchen island replace water heater ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New Addn Alteration_Repair Type of Project: New Addn X,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 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 1 Kitchen Sink&Disposal Grease Trap Gas Range Ducting 1 Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas ( Range Hood 1 Water Heater Other: 4 Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water ) INo.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!am authorized by the owner of this properly to perform the work for which application is made, and I comply with the State Contracto .27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# r/A razed Age gnature Date (Revised 9/23/2016)