913 33RD ST B 2019-09-18 - Laserfiche WebLink

MIN PERMIT APPLICATIHII BUILDIN4 MECHANICAL/ PLUMBING/SIG i' PRINKLER/ DEMOLITION 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 (Bh*e or,Black Ink ►rnlyPleasej; : TE T BITE INFORMATIOt+f. .. : .. .. ,.: •7r�,ate PROJECT SITE ADDRESS: /'? .®•�- - PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: tl' iii-(r et 5-,,A I`' , TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET/ / 3 ?2 ..S - CITY gi/tre,i-g " STATE 1/77- ZIP OWNER PHONE: I/LC Zs-2_ 7`:? OWNER EMAIL: CONTRACTOR NAME: h PiI / CONTRACTOR ADDRESS: STREET Po o K 1I 1.2. J CITY ild air i c Vi,/J.e STATE b/i(i �/� ZIP ,f1----70 CONTRACTOR PHONE: /12 S S 6 7 '7.. .S / CONTRACTOR EMAIL: f, e% ✓ � clic ,s--c,,,,,,i- ' s/ CONTRACTOR LICENSE#(REQUIRED): 1—1�, /ai .. � ,12 r CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): y ZL1 PRIMARY CONTACT: 0 OWNER .1 CONTRACTOR 0 OTHER(Please Specify)- CONTACT NAME:e,-;-- ` i CONTACT PHONE: 1.14 c yi - 2 S'5/ I 0 14 l Bi to ' CONTACT EMAIL:176 m ti i �L cervi,c Sp i 041 .:,'•; .1:.'.' '. !::::.:;.. :.: -i:::..-::]::.!',: BUILDING.INFORMATION 1 , Existing Use of Building: c r./2 1..,:-Contract Price of Work:$ 41 -- -• \�00 Proposed Use of Building: Heat Source: ❑GasElec ric ❑Other BUILDING USE:RS—FR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: El Commercial ❑Accessory Structure Type of Project: ❑New DAddition ❑Remodel 'repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION F WORK: w 12.cp/c e G 'te He,saei ASSOCIATED BUILDING PERMIT#(if applicable): :..MtCHANICAL;PERM;IT APPLICATION , .:. .... ..: ' PLUMBING PERMIT APPLICATION.:; . . :: Fixture Fixture Fixture Fixture Count List of Fixtures Count 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 Ventilatio 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 SPRINKLER/.SUPPRESSION SYSTEM 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.lam the owner,or lam authorized by the owner of this property to perform the work for which application is made, and I comply with the State ContractorLaw 18.27 RCW and 296.200A WAC. 42( &.: �(� Cityyoof Everett Official Use Only '5) // C7 PERMIA\ ‘../ --- /,--- T 1 1 ` lSO l o 1. OwnerlAtflhostiled Agent Signature I Data (Revised 4/15/2019)