2915 BROADWAY 2020-01-21 - Laserfiche WebLink

PE-'MIT APPLICATIO—I• ow_ BUILDII'U I MECHANICAL/ PLUMBING I SIGN RINKKLER I DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 25-257-8810 1 FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink 0,' Pleas<) PROJECT SITE INFORMATION PROJECT SITE ADDR -S: 2f/ 2444 Azow,a-t, PROPERTY TAX#: LEGAL for new construct.n: Short Plat/ bdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: MPhil/ 73ge,A7 TENANT NAME(If Commercial): '3,11. —5! OWNER MAILING ADDRESS: STREET rCITY STATE ZIP OWNER PHONE: /2 s- Z7-�2` 3/4.1 OWNER EMAIL: CONTRACTOR NAME: AV 6 Ate_eZ /K6p4! L i5A RA-1 Cp ' ,s Z,4e- CONTRACTOR ADDRESS: STREET 12e4., ' J/1C4." CITY A lire.0PS t 1 /9- / STATE ZIP CONTRACTOR PHONE: f6 // 2 f`24, CONTRACTOR EMAIL: /'LSfrX AI/6O, ' C ,- G›,/ 4 /44417(1 CONTRACTOR LICENSE#(REQUIRED) CITY OF EVERETT BUSINESS LICENSE#(REQUIRE'r: ` PRIMARY CONTACT: 0 OWNER )(CONTRACTOR ❑OTHER(Please Specify) eDCONTACT NAM1: CONTACT PHONE: • �j6/0 � .....,"/ fi (� " ks ••-3e) r- v11 CONTACT EMAIL: i Fi ( /, BUILDING PERMIT APPLICATIO Existing Use of Building: Contract Price of .rk:$ Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: : _.....> 0 Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkle El Demolition El Change of Use DESCRIPTION OF WORK: .,(t)� � 1y`9�' P�..41)‘1:4/1 , Dt, L Q 1, a " ' v ASSOCIATED BUILDING PERMIT#(if applicable): d 0,2_ �5� MECHANICAL PERMIT APPLICATION PL MBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New Addn _Alteration Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER I SUPPRESSION SYSTEM 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 bein. -uthorize. der any circumst-nce.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 Sta-'Contr--11 - 18.27--4( r.296.200A WAC. City of Everett Official Use Only -_ - / PERMIT# • Owner/Authorized Agent •nature ate / (Revised 9/23/2096) ®/ %l /