524 75TH ST SE 2020-01-21 - Laserfiche WebLink

PERMIT APPLICATI BUILIA4 MECHANICAL/ PLUM ING/SIG -. RINKLER/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 (Utas or lUack Ink Only Please) P OJECCT SITE IIMIFORMATIWN 5 PROJECT SITE ADDRESS: 0W 75 ST .SE��X,247-7-rhYl 91'c03 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) ,n/_ CCONT4 CT INFO€-11f9ATIIt OWNER NAMEA,Ie/-k SSE-U)T )y () / -TjQ Si L� TENANT NAME(If Commercial):`ry�c T�,2me: A7 L/L. OWNER MAILING ADDRESS: // Oyj'1.%60( E ITS c'c 20 i-s\ l�• CrTY / STATE ,e> ZIP /W',59 3 OWNER PHONE: �j �1 OWNER EMAIL: CONTRACTOR NAME: &2L 4t Q CONTRACTOR ADDRESS: 1 REI )C�Fey2b .' Si E/Q / SA 4 STATE it.)(1 ZIP g e) CONTRACTOR PHONE:] O()-4L( —83i 3 CONTRACTOR EMAIL:,_ j a_ y26.Qr'op/Q.,fa CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUI D): S z...2- f • PRIMARY CONTACT: 0 OWNER 3 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:)24,75 �C)' J5' F CCS j� CONTACT EMAIL: BUILDING PERMIT APPLICATION Existing Use of Building:/'? 24 Woe— Contract Price of W :$_ l,, 11-4• Proposed Use of Building: S'�YYb- Heat Source: 0 s ❑Electric 1 er Building Type: ❑SFR-Detached ❑SFR-Attached\❑Duplex ❑Multi-Family-#of Units: qCommercial ❑Industrial Type of Project ❑New ❑Addition ❑Remodel A K1.Repair DTI. ❑Sign ❑Sprinkler ❑Demolition ❑CChanggee ofUse �t DESCRIPTION OF WORK 0 Job j� )A X47-6 fryt E a-e- 7 ^�-�fU`-'P C.�HS A , . -Darrn/6'C Ta /d� s.jL G'P C22-747-014.__L)-4-ACT Av D LOT ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New Addn _Alteration _Repair Type of Project New Addn _Alteration Repair #of List of Fixtures #of List• Fixtures #of List of Fixtures ! #of List, Fixtures Fixtures - Fixtures Fixtures Fixtures A/C—Air Handling Units H--t Pump Toilet Backfl• , 'reventer(Inside Bldg) Forced Air Systems nit Heater Bathtub U ' al 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 Hook '•s Other: • Clothes Washer Medical Gas Range Hood Water Heater Other: 1 Exhaust Fan I Sink(Service:ar/Mop/etc.) Other: SPRIIN,< '_i R/SUPPRESSION SYSTEM I Ch-- ical or Water l No. of Heads ACKNOWLEr EMENT: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 Bi hg 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, a d l omply with the State Contractor-Law 18.27 RCW and 296.200A WAC. Bi City of Everett Official Use Only PEtttillIT# l' 14#1j0071.11fir,Owner/Authorized Agen Signature ate (Revised 9/23/2016)