2920 TERMINAL AVE 2020-01-30 - Laserfiche WebLink

NINE PERMIT APPLICATION mi BUILDING ; MECHANICAL / PLUMBING / SIGN . __ RINKLER / DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (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 j,ry 9 PROJECT SITE ADDRESS: 2900 a -r-,,„,,s, 2 l0 i Pi4Cfwe PROPERTY TAX#: 5 l9 QD 3D ) L l D O LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: (r? 0 f 6—$c 77 TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET i 2-05 C retrTc ,.. u,),,-/ 1,,-f p7() I CITY F4® P f,-? 7 W STATE (Ail)(Ail) ZIP U?ej OWNER PHONE: / 7t 4637 OWNER EMAIL: St eqe 4 art of E4ere.-7-7;Ggm CONTRACTOR NAME: p\,orr�a; GSSIN am. CONTRACTOR ADDRESS: STREET 3t43(e 4nre, cr-{- ®r s CITY 134\.%k-.5 6'"C.yy\ STATE w ZIP 18d a-Xv CONTRACTOR PHONE: &J C) �g CONTRACTOR EMAIL: �21rlgv.rO 1"--1artS ( „®��/C ,taw, CONTRACTOR LICENSE#(REQUIRED): 'A,y'r; P N 8)3 SP CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):J Cp 1 J f PRIMARY CONTACT: El OWNER ,CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: (1 CONTACT PHONE: ,3(00 0)0l 9,m, 1 Joe �\ N cw-if 0 CONTACT EMAIL: •J(L6\a„0() £ tJt) CO BUILDING INFORMATION [� Existing Use of Building: Contract Price of Work: $ p?9/6(oU ,00 Proposed Use of Building: Heat Source: ❑Cas . lectric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: Qmmercial ❑Accessory Structure Type of Project: ❑New ❑Addition Cl Remodel 0 Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: p. �► a L; Ke-vcto rL; ham.-'- Pc-,,,,p s L(2.0o(, bp') 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 aHeat Pump= s Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility, laundry, mop Exhaust Fans(Residential) Commercial Ventilation\ 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/0 I 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 WAG. City of Everett Official Use Only `__ - .C1O G �PERM 11 0 L ' I R ' D q Owner/Aut .rized Agent Signature Date (Revised 4/15/2019) --