1726 RAINIER AVE 2019-09-24 - Laserfiche WebLink

I�'�1111PERMIT APPLICATION BUILDINJA1ECHANICAL/ PLUMBING /SIGF RINKLER/ DEMOLITION EVERETTCITY 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 (Blue,or BlacktInk OnlyPleasej .. ,. s PROJEc{.t*itE JNFORMATIO ,RM .o . t._ .,.h. . _....,... .. PROJECT SITE ADDRESS: \-726 26 RAV J IIER AVE. PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) SM „ NTAOY 4N1Fb0).0fiI.N OWNER NAME: ASO r•-; TENANTBUSINESSNAME(Commercial): ' OWNER MAILING ADDRESS: STREET Z(11 RAA/J I E2 �'C vt CIN E v F.42.,aT I STATE NA/A/"-[ ZIP C;t3ZZ) OWNER PHONE: 4 ZS- ZIt ' y O OWNER EMAIL: -..10-5,14, OGLln x- gl444-1. COW! CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZlP CONTRACTOR PHONE: - CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): LICENSE PRIMARY CONTACT: 'OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 1-)25-Z IG—5F9 0 3 Ae- o, 5A).J KEK CONTACT EMAIL: Ste'-Ott, ba+nker:- 0.8kenet.i GD.wt • ,, r. , - , , . ..= BUIL . 0:0#0.4 10 1 _., .. ._.. .. . . D�NC� I Existing Use of Building: Contract Price of Work:$ "1 b f) Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial UrAccessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: RE-ROOF c-ARA € ASSOCIATED BUILDING PERMIT#(if applicable): 1(IIEHANICALPERMIT APP_L1C;1�TI01�,.. ..,. , P1. JMB�NG. +ERMIT A1'PIsiCrAT1ON: . Fixture Fixture 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 SPRINKLER I 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.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 f -/tq PERMIT# °5111 O(p•„ 02 A •R ed-u oriz•. went a ure Date (Revised 4/15/2019)