624 WETMORE AVE 2019-09-17 - Laserfiche WebLink

mmi PERMIT APPLICATION uni BUILDINaECHANICAL I PLUMBING /SIGN!!=RINKLER/ DEMOLITION EVERETTCITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits (Bllue or Blactc,tnk OntyrPlease?:aa ...E.. PRO EcT StTE'INFORMATIOtk..., gnswigmozeum, oro..,,,.. A ,3. ....... „ PROJECT SITE ADDRESS: at/ 4., ,4,-e A PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) ,\ . , ONTACTINFORMATIO::N ? P . .. . ..r.. k. . OWNER NAME: "�-c ` S��« TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET t,,7 cf („) CITY CJ(aC .H STATE mi! 1 ZIP OWNER PHONE: 111 OWNER EMAIL: CONTRACTOR NAME: EC 1/..i'CCa,n Leo n� -E-f a c r,• fir, CONTRACTOR ADDRESS: STREET L1 c 7‹ � l 7 tj r CITY (Y)ON 1Ci /'v,6-I111` STATI /'^ ZIPq'Z,-7) CONTRACTOR PHONE: 1157 `2) ‘ 27 CONTRACTORQEMAIL: in e r�„4.t.r —1cr G rJ CONTRACTOR LICENSE#(REQUIRED): Ck Q C I -)5 / CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER Ict.CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425 tfiErs �3 0 7 PIN f‘N C\Le S CONTACT EMAIL: . , r .BOR.DiING' NFORMATIOII• ,.,. . _ . E FN „, ,._. , S CRE Existing Use of Building: Contract Price of Work:$ /7, 000 Proposed Use of Building: Heat Source: ❑Gas 0 Electric ❑Other BUILDING USE:RSFR ❑Townhouse ❑Duplex DADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition VRemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler 0 Demolition ❑Change of Use DESCRIPTION OF WORK: e-°---00 0-F ASSOCIATED BUILDING PERMIT#(if applicable): r ,; ;..,.. MECHA'+i1ICAL PENMIT,AP 'UCATlt'INPLUMBING PERMIT P LICATIOI* .. . FixtureFixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures NC-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) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater RIVOIONKCE*400#100:00140SUMME Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System 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 Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 0 n)� PERMIT µ co,_IY010\ Owner/Authorized Agent Signature a (Revised 4/15/20((19)