915 WALL ST 2019-09-24 - Laserfiche WebLink

® PERMIT APPLICATIc9I BUILDI111i MECHANICAL/ PLUMBING / SIGI 6T3PRINKLER/ DEMOLITION E V E R E T TCITY 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 Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: Ct 1$ v\lr/-Ll--- j PROPERTY TAX#:&04 37,240 7&c, 24C 0 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) A. SCONTACT INFORMATION OWNER NAME: 6/1vvl�`w1� �T-�iAvS N/v TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET ,3,5(4- £ 2--AM _.c 7.36— CITY L (YI 02-1.---77- STATE lVAZIP Cy(e)-V OWNER PHONE• : A 3.- 3S /"i� OWNER EMAIL:. C i ) i n S 1�� t) `i el1 ma 1 fl, c� CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: XOWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 4.25— 7 7 %— 3 S� 5 (/1-11442y2-0l.) O 1-1 N.57. iv) CONTACT EMAIL: / / at, /1 S TZ%✓L(J14 0tLv1C.L 1 L 0,-, BUILDING INFORMATION Existing Use of Building: it'ioL.i X Contract Price of Work:$ -7C' 7 ') )_C c. Proposed Use of Building: kJ 0 (..om1-7 Cre Heat Source: ❑Gas Electric ❑Other BUILDING USE: ❑SFR OTownhouse ❑Duplex ❑ADU 21Multi-Family-#Units: ¢ _ ❑Commercial ❑Accessory Structure Type of Project: ONew ❑Addition ❑Remodel XRepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition 'OChange of Use DESCRIPTION OF WORK: /�,/- c w A.----- -)2___ LA o`-7& )t:�i4/�-y17S1 G IA) S v'- V /`.A •N (/t It, v. '` '�- {�\\I 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 Ga ange Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Drye eat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Re odel) Refrigeration Drinking Fountain Sink Utility,laundry,mop Exhaust Fans(Resi tial) 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(Resides al) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems i Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Ins Log Roof Drains 4- Water Heater SPRINKLE SUPPRESSION SYSTEM Sewage Ejector or Sump Pump a Other: ç . j C Water Suppression Syst m 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 —oO ,70. reir Owner/A Krized Agent Signature Date (Revised 4/15/2019) ( 17 1)