3131 TULALIP AVE 2019-09-24 - Laserfiche WebLink

frilififrPERMIT BUILDING) M CHANICAL I PLUMBING I SIGN r/&WINKLER/DEMOLITION CITY OF E - 'Y , - 3200 C .'R STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257 8857 1(E)everetteps@everettwa.gov I verettwa.gov/permits (Blue or Black Ink Only Please) PROJECT e it r PROJECT SITE ADDRESS: 37 31 T.-I; p /fide__ PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: l t9Sir}t v._ I'--)ii4e TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET Z 1 I L/ AlUci(jain. S-F cITY .Eilerell- STATE I.4-44" ZIP 9, 03 • OWNER PHONE: 1/7.6'—2.1 i f"7.7? OWNER EMAIL: '+tvz,.v-41 6.14 t•NJdie-e Z,,Cav" CONTRACTOR NAME: (9I t (l}(t�,�,_('_ L ( CONTRACTOR ADDRESS: STREET s7.-1 cr-It"Ave 1 sr- CITY rCITY Lc t " s STATE l ZIP q i ill"---6 CONTRACTOR PHONE: p CONTRACTOR EMAIL: ' c vv t' G� w' 'pl W�4J ir1e4 CONTRACTOR LICENSE#(REQUIRED): 6Z V S 0` I-`f a, 3I CITY OF EVERETT BUSINESS LICENSE#(REQ RED):609 2-776z PRIMARY CONTACT: j11 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: `o•vtroL ill 5,' Jy CONTACT PHPNE: -Z 3) -9j7'7 q z CONTACT EMAIL: JB4 erti. Vel✓4 t"):44_ r/ ( nln 00, cotes BUILDING INFORMATION Existing Use of Building: (Z,s/'Jt" C-e Contract Price of Work:$ ) 5'00. O Proposed Use of Building: irZe i c® Heat Source: IZGas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU OMulti-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair DTI. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: r'ep1cu. +„iI44 , Ti..t 0,,,,a sol It. hi bot 4iioz.,w.. 4vtA. I-eplacrvj 11,4- 'tie ..StiI 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) I Shower,Tub,or Combo Boiler "k-,.t k tip s�- Gas Range Clothes Washer _Sink-Commercial(3-comp,prep,floor) Clothes Dryer , 4 Heat Pump&Ductless Dishwasher fa 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/SUPPRESSION SYSTEM iSewage 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 — - - � —�_ ,� PERMIT# N0I-- ®os Own Authorized Agent Signature Date (Revised 10/10/2018)