332 SW EVERETT MALL WAY UNION BANK 2019-09-05

• PERMIT APPLICATiON BUILDING i MECHANICAL I PLUMBING I SIGN I SPRINKLER I DEMOLITION - CiTY OF EVERETT PERMIT SERVICES (047- 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everetfwa.gov/permits (Fleas®r bleak Ink®.nty_PIeaM sea • - PROMO' F INFORMATION PROJECT SITE ADDRESS: ale LL) ELY024Str Y PROPERTY TAX#: ' LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONACTT INFORMATION - OWNER NAME: U 14..) t t3 _ - i TENANT NAME(If Commercial): (,1 L1tD9 EM4 OWNER MAiLiNG ADDRESS: STREET 29s Sco.) E-V/Pizsrftli.4141 Luke( • CnY Val STATEII ()IA ZIP GE-2'`C) OWNER PHONE: ,...,_�.,.,��....r.-� OWNER EMAIL:. .... .... ...-.� �,...Lg.—X03',..��i'?%.....,..,.,,_.,....,.._. ,.. .. ....,,.,_ .,......... , CONTRACTOR NAME: C U .� AJ `1~70FTC: �Jd�E- 046-1A-c_ CONTRACTOR 4Art- CONTRACTOR ADDRESS: STREET 24 2-C> � l AU Cr • CI !✓UTY mSTATE (,4J -- ZIP t Q2O( CONTRACTOR PHONE: If-2-5 c 2--"5(jL • 'CONTRACTOR EMAIL: @ i4914,4A CONTRACTOR LICENSE#(REQUIRED): E(J t26.SS c72.2,0`I' CITY OF EVERETT BUSINESS LiCENSE#(REQUIRED): L of el 5S" PRIMARY CONTACT: ❑OWNER 1 I.CONTRACTOR 0 OTHER(Please Specify) - CONTACT NAME: CONTACT PHONE: 4 75-252 a,//5 Mik Pacepk_ CONTACT EMAIL: Im.. e€55r4 WA £ • �IJIL DIN(a PERMIT APPLICATION Existing Use of Building: Oz� I Contract Price of Work:$ �,80z� Proposed Use of Building: `- O Heat Source: ❑Gas Electric ❑Other Building Type: ❑SFR Detached CISFR Attached ❑Duplex ❑Multi Family#of Units: IkCommercial ❑Industrial Type of Project: ❑New DAddition CIRemodel ❑Repair ❑TI. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Alla L ai c Co o ii /✓b ID 4?e-v'vete' .. ASSOCIATED BUILDING PERMIT#(if applicable): k k .b y .: : :MECi NI ACAL..PERMITAPPLICATION , - . PLUIV.IgING PERiiiiiT APPLICATION • Type of Project: _New Addn Alteration ^Repair Type of Project: New Addn 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 Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains • Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Wafer Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: - .. : :.SPRINI(L,E1 %S.UPPfi�ESSWONSYSTEM ' ' , Number of Heads ACKNOWLEDGEMENT:l have reviewed this application and confirm the information contained herein is true and correct.Work clone 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.lam the owner,or 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 PERMT r,. () Q` 6/20 ��1"— 0621 t iner•/Authorized Ag ignafure Date (Revised 5/20/2018)