9300 SHARON DR 2019-09-24 - Laserfiche WebLink

grf 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 PROJECT SITE ADDRESS: 93C 0 5 p;r\ Dr 6)11"re..74 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: 0 rl C)0 K TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET c,3 0 0 51 " r1 CITY 5.1,4(/ STATE"V--/ .°T ZIP 0,,i�"'_ OWNER PHONE: C/25 — 3f _ llllgvv//�ll S OWNER EMAIL: CONTRACTOR NAME: -w\-b t aj mssN J �!� CONTRACTOR ADDRESS: STREET 3S-t�X (O5f� I 5t CITY FL4..f -+ STATE w/'/ ZIP cly)._os CONTRACTOR PHONE: 4,15) at tt D —77 6 5 CONTRACTOR EMAIL: �n t- ettA"b16)cpe,,,SN -OD IN", CONTRACTOR LICENSE#(REQUIRED): L.A.//ge N93 N ,i-1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 54&52 PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: )..t3. red 'v CONTACT PHONE: 253_ L 5 ) 21t 1 CONTACT EMAIL: Tn CO g P`U..heb;/' /� [.r^� N w_&DJI^ ,1 BUILDING INFORMATION ExistingUse of Building:g: �lt?;�i� Contract Price of Work: $ I f:fJ� Proposed Use of Building: Heat Source: ❑Gas lectric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑//Duplex OADU OMulti-Family-#Units: DCommercial ❑Accessory Structure Type of Project: ONew DAddition Eti emodel DRepair ❑T.i. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: �_ C..)-1 I 0,r\ fRO rOo M ?-1,- i!\-,-0,-;, , I s) '‹ 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 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 3 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/InserULog 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 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 PERMI ..,,L./. ?w� 1lisby j bI - a� Owner/Authorized Agent Signature l Date (Revised 10/10/2018)