7311 7TH DR W 2019-11-15 - Laserfiche WebLink

PERMIT APPLICATION 'V. BUILDING I MECHANICAL/ PLUMBING/SIGN/SPRINKLER/DEMOLITION t' 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: (its ,- H- 1d/4-PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: i`G y/A /sr ct/erio ii TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET? it 7 L Y y G CITY Gc1t; ((co 1E7- STATE 14/A_ ZIP 7g-20e OWNER PHONE: kit 2 S - i 3 6 79 (OWNER EMAIL: )7e Ord©i?ez (.d' yy2.Q;/r 6".62).0.7 CONTRACTOR NAME: g5e,' As /j/. Q ra /e.c ,..iit...cd.Weilz-, L.A..),-e__ P__IninEn- CONTRACTOR ADDRESS: STREET -3 ii G e 5,170 //2 ?J . /9 r- J O 2 CITY v(y-.e 7174 STATE t-L--/ 4 ZIP /y—q p O CONTRACTOR PHONE: _ , p CONTRACTOR EMAIL: " / 0 ' 'err OY Y! - r>!.2.::- -•'" CONTRACTOR LICENSE#(REQUIRED): $ j ley )....‘r-4-.69-:-S c✓ CITY OF EVERETT BUSINESS LICENSE# r-0UIRED. PRIMARY CONTACT: 0 OWNER G'CONTRACTOR 0 OTHER(Please Specify) 6 4 CONTACT NAME: CONTACT PHONE: cLs^ 2.. eg'' 6t PCF /4. Me r4/. 1 CONTACT EMAIL: /12�/J teici�GPi or-1;'J./io ri7442v2.40 BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$ 7 ' Q" OL Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: El New ❑Addition ❑Remod el ORepair DTA. OSign ❑Sprinkler ODemolition OChange of Use DESCRIPTION OF WORK: 6 /-4p0 t' ,1 5 h,)Q /r �'LeYt2O ve cx��`y1� iJ 1)c________ a-n S l n c/a II GQ //°'4)ie/O17 617;49 k 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 Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatior 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 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 gr.nting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Building Official before being authorize. .oder 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 Contrac., Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only ,� ` PER ^ 03"'023 2 / 0/5._ 8) LJ O er/Authorize. Ag: t t ature Date (Revised 10/10/2018)