2930 49TH ST SW 2019-09-18 - Laserfiche WebLink

477- PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please PROJECT SITE INFORMATION j /_�_ PROJECT SITE ADDRESS: a Ci ,S 0 1-1 1 I - I ( S l..J PROPERTY TAX#: ,( 0 L(3 LI 00"-!O5 (..0 50 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) — CONTACT INFORMATION �.in OWNER NAME: 'I{,-- a- 0,,c.i S-E-,.' W;(Le_l TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET i3O `i Ci t . 1.-- S(-0 t CITY LT Je_r- -t++ STATE (A)A ZIP 2.o 3 OWNER PHONE: OWNER EMAIL: TL w\11.\el nn. €, t*t- N i L . CO(h. CONTRACTOR NAME: - COACI k.1 i e(„) Catvtf tkc-k-aC-S CONTRACTOR ADDRESS: STREET Sit--7 Nlf.foe_cLc. (\Ue- CITY 'GU eb{- STATE WA ZIP 982_03 CONTRACTOR PHONE: 125. 87o -7 2t-(? CONTRACTOR EMAIL: Sidi ArpcvQ�4-;e5 .1_- tm c_c.)r- CAsT. Ae r CONTRACTOR LICENSE#(REQUIRED): Sou NZ CL 95 I •K Q ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 5"-(f 7 i ' PRIMARY CONTACT: 0 OWNER RCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: r(ZS 87(i 7.2 Li 1 I li}} %Y CI - CONTACT EMAIL: S.�e.l t(NT-pro pcU`#i e S 1 e Ccrn-LCis ST Ne(_ " BUILDING INFORMATION Existing Use of Building: S{ , Contract Price of Work:$ 1414, OEVJ, I II"-( O O 0 , i Proposed Use of Building: .5(--♦\ Heat Source: jaGas DElectric ❑Other )BUILDING USE: VI$FR ❑Townhouse ❑Duplex LIADU ❑Multi-Family-#Units: LiCommercial ❑Accessory Structure NH Type of Project: ❑New ❑Addition KiRemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: 4(v.tove"_ Surne_ in.tuz0r t...t>u5 ; i;\SfAtt N(" Stm=t I - 0z,�M, t=-Ani..e ,' L) i.i.ki S 14- `nS-tA l. AEA,' CA,:b,,0e73 ASSOCIATED BUILDING PERMIT#(if applicable): x =._ MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION i Fixture I Fixture Fixture Fixture List of Fixtures List of Fixtures Count List of Fixtures Count List of Fixtures CountF.. i Count .A/C--Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combc _ Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,p ep,f!c,cr) Clothes Dryer Heat Pump&Ductless I Dishwasher { Sink-Residential(krtrhen,bath t_rte r 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 Y__..`......Exhaust Hood(Type II) Water Heater interceptor-Grease Waste/Water Piping Repair A t _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: LWater Suppression System No.of Heads _.. Ctiemical Suppression System No.of Heads —_ey ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained heroin„s;true and correct. Work done pursuant to this permit must comply'roi'h 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 fromrt the: building Official before being authorizett.tmd�r any circumstance.,Lern't.he owner,or I are autnorized by thr owner of this property to perform the work for which appiicatiGn is rr.^J,= and I comply with the State Coptrdct�L w 18.27 KW-er7c'296.200A WA.C. S �s ,i ..--^ C;t'y of Everett Official Use Oaf): ..._„,.i ��'" PERMIT# Own Authorized Agent Signature Date (Revised 10/10/2018) — . -,. 4 .. 14