7200 HARDESON RD 2020-01-29 - Laserfiche WebLink

PERMIT APPLICATION BUILDING I MECHANICAL/PLUMBING/SIGN 1 SPRINKLER I DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov J www.everettwa.gov/permits (Blue®r Blaek Itik Only,Please) . PROJECT SITE INFORMATION PROJECT SiTE ADDRESS: 92-4Q cytJ 449 PROPERTY TAX#: 26 ((©Owl/D/5 C LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) • CONTACT.INFORMATION OWNER NAME: AQ/Vj f/,t✓li�t � Ul TENANT NAME(If Commercial): • OWNER MAILING ADDRESS: STREET /7 j%ls i g CITY alit-3/1 �L STATE (AZIP Qf J0Z. OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: E VC.KC 2.EI AJ 6 TA-T( t C1( t-tP, '- CONTRACTOR ADDRESS: STREET -I'2-0 1 1vizdsu e CITY e()MUTT STATE (A/_ ZIP Et ta,'JO CONTRACTOR PHONE: 4'15.2 S"2'1'6/Kt • CONTRACTOR EMAIL: ivi-xie f.%044-1,444 -P.A. CONTRACTOR LICENSE#(REQUIRED): Ei V`ra4.$5 c>2,2,0-r' CITY OF EVERETT BUSINESS LiCENSE#(REQUIRED): LI 6-7 j PRIMARY CONTACT: ❑OWNER 1 .CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: 4 CONTACT PHONE: t4'2 S--25-2''''' //9 f//d/ yf, CONTACT EMAIL: Mak 0. -.:,,,. 1U'41 .4.-- •• - •• BUILDING PERMIT APPLICATION ' • -n,ri.� Existing Use of Building: Nd e� I Contract Price of Work:$ 1 9u� Proposed Use of Building: /i'O ei Heat Source: Was ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex DMulti-Family-#of Units: Jgt•Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel F(Repair ❑T.I. ❑Sign D/Spprinkler ❑Demolition ❑Change of Use n DES/CRI IONkO�F fr, /i fro it ,big tvL ule- L ,•5A71 tf�G GA.4 6.194edy ASSOCIATED BUILDING PERMIT#(if applicable): MECHANiCAL,PERMIT APPLICATION " • PLUMBING PERMIT APPLICATION 1 Type of Project: _New Addn Alteration )C Repair Type of Project: _New _Addn Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #°f List of Fixtures Fixtures Fixtures Fixtures Fixtures NC—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) qForced 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/SUPPRESSION SYSTEM ' Number of Heads ACKNOWLEDGEMENT:l 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.lam the owner,ort am authorized by the owner of this properly to perform the work for which application is made, and/comply with the State Contractors Law 18.27 RCW and 296.200A WAC. _ City of Everett Official Use Only PERMIT# 01\00 l )1//7 if14(7(A - ®& / Owner/Authorizejent Signature Date (Revised 5/20/2016) i� I