2214 RUCKER AVE 2019-09-24 - Laserfiche WebLink

414-77 PERMIT APPLICATION BUILDIMmIECHANICAL/PLUMBING /SIG111 'RINKLER/ DEMOLITION CITY OF EVERETT PERMIT SER 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 2..1411- *1E, ENt t-IA cfaz I PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: ¢ICY gr-ED Sr+ 1.4 �,..1 TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 2714 w, AYc CRY # r- STATE Pk ZIP lea$o I OWNER PHONE: (424) ztz.- 4141S. OWNER EMAIL: s, ea.Key,-1-0.,1145 e.1wuti1.co., CONTRACTOR NAME: CAA AR4.,(s' R-usSE.u— WCL\ W,1_4_, _ry/1.-".. CONTRACTOR ADDRESS: STREET t 28 t 0 146 i y$14 ST i I'01 CITY 1•4001)1f4 ltll. STATE )4& ZIP la 072, CONTRACTOR PHONE: (4205)15$^:s41, CONTRACTOR EMAIL: GrusSelt w .s -Li i"iyt4.44'444 , CONTRACTOR LICENSE#(REQUIRD). ( VVP41 lla 1 CITY OF EVERETT BUSINESS LICENSE#(REQUI D):_ ___.c.5..._2__ PRIMARY CONTACT: 0 OWNER O CONTRACTOR :4 OTHER(Please Specify) Ageatf r-r -r CONTACT NAME: CONTACT PHONE: (412,..$) ZS1-bb68 ANDy 42%•9.4,o CONTACT EMAIL: e,.,el,1 Q'1,who.rt-lt.cvw, BUILDING INFORMATION / Existing Use of Building: Mvtsrl•FAFat ii..rT.totc, Contract Price of Work:$ 2co` ...0Gto e t 0 A � Proposed Use of Building: MvLz'L- FA.. UL'- Iasl�. Heat Source: r-Gas r Electric OOther CM c BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU EgMulti-Family-#Units: ' ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition 'Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: L®e•aV +to 4 pi-- A ei vADTI-w- (All) A tR-tPI.E?c. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION 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) 2. Shower,Tub,or Combo Boiler Gas Range 9 Clothes Washer Sink-Commercial(3-comp,prep,floor) / Clothes Dryer ( Heat Pump&Ductless I Dishwasher 5 Sink-Residential(kitchen,bath,bar) Duct System(Remodel) ' Refrigeration Drinking Fountain , Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilation Floor Drain 2, 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 I No.of Heads ACKNOWLEDGEMENT::!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 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 l 3 R �,o2 �- c c ? Owner/A Kori . Agent Sig ure Date (Red sed 10/10/2018)