2702 59TH ST SW 2019-11-15 - Laserfiche WebLink

PERMIT APPLICATIOf LAT- (pG. S ZC� Z3 UNI BUILDING-1'MECHANICAL/ PLUMBING / SIGN i .yPRINKLER 1 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: 7:7 0 Z S Ste/ PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Ch Z\ S 2R P \\e-' TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 7,-7 OZ S`:\.� S-Y SW CITY STATE L..„../A ZIP ` " Z-0-"S OWNER PHONE: S LAS °1© OWNER EMAIL: - -• kd✓ c G G("121 "L" - d-0)400.‘ CONTRACTOR NAME: Q V g�� S 4v/i a. 60, l..J�i✓1. t CONTRACTOR ADDRESS: STREET I Lti c ,p1 CITY Q, ( C,-'S V VJ e-S STATE A ZIP `(�D Z Z I CONTRACTOR PHONE: ("1 7--G 3'4°S S5CONTRACTOR EMAIL: P�ge'er°`'SIA 9aSwo.rkS 3v r>^ CONTRACTOR LICENSE#(REQUIRED): 'Pll3 e kS b g S t iJ(p CITY OF EVERETT BUSINESS LICENSE#(REQUIR ): SS Llu PRIMARY CONTACT: 0 OWNER gi CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: k\ l CONTACT PHONE: 1A2,5 , 1 l(p 0 L(7 7 \V CONTACT EMAIL: 4) Z S 3v-‘O,; l.[� BUILDING INFORMATION Existing Use of Building: 35 i Contract Price of Work:$ Z 5490 Proposed Use of Building: Heat Source: ❑Gas ligElectric ❑Other BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ONew ❑Addition ❑Remodel El Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: 1 I en,‘., 3 ' N.,‘L'> Aldi 44 ee f 11 as O .n o_ }A-k-1 e wake,✓ 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 2. 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 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 kI � aej � #� —O(� C Owner/ thorized Agent Signa re Date (Revised 4/15/2019)