818 94TH ST SE 2019-08-14 - Laserfiche WebLink

PERMIT APPLICATION BUILDIN — ECHANICAL/ PLUMBING /SIGN I' I1RINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 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 (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 818 94th St. SE PROPERTY TAX#: 28051800301100 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) r .. CONTACT INFORMATION } OWNER NAME: Asfaw Belay TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 818 94th St. SE c,n Everett STATE WA ZIP 98208 OWNER PHONE: 206.354.4095 OWNER EMAIL: asfaw08@gmail.com CONTRACTOR NAME: to be determined 0 GO jV01E- CONTRACTOR ADDRESS: STREET - CITY - STATE - ZIP - CONTRACTOR PHONE: - CONTRACTOR EMAIL: - CONTRACTOR LICENSE#(REQUIRED): - CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): - PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206.354.4095 Asfaw Belay CONTACT EMAIL: asfaw08@gmail.com BUILDING PERMIT APPGCATIO Existing Use of Building:Single Family Residence Contract Price of W•4 :$ $35,000 Proposed Use of Building: Single Family Residence with AFH Heat Source: OG s 01Electric ■Other Building Type: ❑SFR-Detached I7SFR-Attached ❑Duplex ❑Multi-Family-#of Units. %Commercial ❑Industrial Type of Project: ❑New ❑Addition GaRemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ■Demolition OChange of Use DESCRIPTION OF WORK: Interior renovation. Demo and construct walls per plans. Establish Adult Family Home ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION= PLUMBING PERMIT APPLICATION; Type of Project: _New _ Addn ✓Alteration _Re.=it Type of Project: _New _Addn 4Alteration _Repair #of List of Fixtures #of t of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C-Air Handling Units 0 Heat Pump o Toilet o ackflow Preventer(Inside Bldg) o Forced Air Systems 0 Unit Heater 0 Bathtub o Urinal o Gas Piping • Boiler o Lavatory(Wash Basin) - Drinking Fountain o Water Heater o Refrigeration 0 Shower o loor Drain o Gas Fireplace o Wood Stove 0 Kitchen Sink&Dis•.sal 0 Grease Trap o Gas Range o Ducting o Dishwasher o Roof Drains o Clothes Drye 'ookups o th o Clothes W-- er Medical Gas o Range H.,: o Water .rater Other: o Exhau an _ ° Sin. ervice/Bar/Mop/e . o ... Other: 0 0 S,P INKLER/SUPPRESSION SYSTEM wx= 0 l! o (Chemical or Water 10 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 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 ^ s' + S_pi-1-f; }1- 7,01 c, PET� O V Owner/Authorized Agent Sign. ure Date (Rev3/2016) /1/2_