3628 WETMORE AVE 2019-11-07 - Laserfiche WebLink

PERMIT APPLICATION- BUILDING I MECHANICAL/PLUMBING I SIGN /SPRINKLER I DEMOLITION �� 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 SITE INFORMATION PROJECT SITE ADDRESS:3C 28 lIO vji16y(/�,0. AU. PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Aim kfe,vvy /'1itwte5 d)gen TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET P©, y//��/y�/ 123 0 6, , .�[.(�L/1, - i CITY �O v�7 I STATE WZIP 9 2/s 0OWNER PHONE: 25 477- f 4 / OWNER EMAIL: ��yy1es/16- ttt ��)4-#e epi CDi4/ CONTRACTOR NAME NA 0 li►1e.r" CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: fir]OWNER 0 CONTRACTOR 0 OTHER(Please Specify) \_jdvkerr r r tg r- CONTA((=NAME: Y CONTACT PHONE: �,._J�fg�Lf e f a x5 0 0 CONTACT EMAIL: BUILDING INFORMATION Existing Use of Building: t41/7D✓+ ppContract Price of Work:$ Proposed Use of Building: {Jit Qt/ '� Q Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex DADU CI Multi-Family-#Units: El Commercial ❑Accessory Structure Type of Project: El New DAddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ®Demolition ❑Change of Use DESCRIPTION OF WORK: Re v1-cov( ca✓ro✓ r rat-1-r ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION FixtureFixture 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 R.•.e Clothes Washer Sink-Co I'''cal(3-comp,prep,floor) Clothes Dryer Pump&Ductless Dishwasher •• --esidential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet Exhaust Hood(Type (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood II se II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust H... (Residential) Wood Stove Interceptor-Sa • oil Water Service(behind meter) Force. •it Systems Other: Medics .= Water Valves or Fixtures Gas Fireplace/Insert/Log Ro. Drains Water Heater SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Chemical or Water I 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 e State Contractors Law 18.27 RCW and 296.200A WAC. _/ City of Everett Official Use Only t) r o t ` f PERMIT# , l 9® ,—00 I !,nerlAu orized Agent Sign. ure Date (Revised 90/10/2018)