331 ALVERSON BLVD 2019-09-04 - Laserfiche WebLink

PERMIT APPLICATION, BUILDIN`IIECHANICAL/ PLUMBING /SIGI RINKLER/ DEMOLITION E V E R E T TCITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857' I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Bjpe'orBia`o1c ink`Only Please) z , ...r :;.PROJECT SITE,,INFO*isA' OA s„ fnt F. ..`... , .,,.,. ,..,.VA `y.... PROJECT SITE ADDRESS: 3 3 ( /L\pS!Z So LV✓ PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) OWNER NAME: FEL--I ?6 !2;'��Z TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET`3 J}} ik/5R- 45''6 `VD CITY V C 1C�i I ,( STATE 1`f.�/A ZIP 678'2,0 OWNER PHONE: O q31.- 2.38 OWNER EMAIL CONTRACTOR NAME: � /-'C C( ! >y"�IT� 1-1C"' ( / G- Ie?-^J C-C7 oLj,As CONTRACTOR ADDRESS: STREET Po v 'E/ '7 3 CITY /1 (L 6 C-2` e "e STATE w1 ZIP 9 8 og CONTRACTOR PHONE: �.I(�Z2 2 S- (L S CONTRACTOR EMAIL: C/2% c.:� 6i'`-j/�C E� GX� 0 , CONTRACTOR LICENSE#(REQUIRED): r-6.-R.F-€-7 f4 8 57 P'S CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):S6, 6 S PRIMARY CONTACT: 0 OWNER Tfl-CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: .1-1--2._s _ Lf Z J _ 0 Z,) 14YIDO 1-1 CONTACT EMAIL: L Existing Use of Building: Contract Price of Work:$ �..� ,5 c-77:" Proposed Use of Building: Heat Source: K.Gas 0 Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse 0 Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: KNew DAddition ❑Remodel ❑Repair ❑T.I. DSign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: / ti s , /. Fc ^//9 C.- &5.i Pics- ASSOCIATED BUILDING PERMIT#(if applicable): tiMESH,INIRA 1 ERMI` 1000,ATION ` ,NG PERMIT000iCA1iON . . PLU MSI zi Fixture Fixture Count List of Fixtures Countcture List of Fixtures Count List of Fixtures Count List of Fixtures / A/C—Air Handling Units Gas Piping ( Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) I Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPR#NKLEII;/,RUPI'RESSIO$SYSTEM „ „, Sewage Ejector or Sump Pump Other: Water.Suppression SystemNo.of Heads Chemical Suppression System I No.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 Co r-.tors Law 18.27 RCW and 296.200A WAC. 7 City of Everett Official Use Only , /„/ PETI\TV:tcA Owner/Authoriz:.Agent Signatu Date (Revised 4/15/2019)