9300 SHARON DR 2019-09-24 - Laserfiche WebLink

PERMIT APPLICATION i la '1111 -1 BUILDINt I MECHANICAL / PLUMBING /SIGN /SPkINKLER/ DEMOLITION %44W CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT S TE INFORMATION PROJECT SITE ADDRESS: (13CD \A. V-0' " In ( PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: r,.(__ J.� MA TENANT BUS SS NAME(Commercial): OWNER MAILING ADDRESS: STREE 9 4 Sllll('��/�� Q YJ( CITY �C JY l N STATE ' /i.ij- ZIP 5s-- ) _"// V` VVV VVVv J OWNER PHONE: OWNER EMAIL: l CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$ (DO,C))". Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU OMulti-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: •\�nc'm 1 (�-\c Ai sir 4 tA� 1- ASSOCIATED BUILDING PERMIT#(if applicable): W. . /4 Q\U " \'2i"� VI \V\ i.)'6C..+1V 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 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 1 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/ SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System No.of Heads ACKNOWLEDGEME,T.: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 ederal,state, :,d local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Buildin.,Official before.-ing 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 co ply with the S: -Contractors Law 18.27 RCW and 296.200A WAC. n f &'- City of Everett Official Use Only x - PER•f�Ql�ff1( L l .0 i 013 Owner/Autho iz:. ,.-.t Sig •tur: Date (Revised 10/10/2018)