4820 DELAWARE AVE 2020-02-06 - Laserfiche WebLink

MEI PERMIT APPLICATION BUILDINJI■IIIECHANICAL I PLUMBING I SIGN 1 ii3RINKLER/ DEMOLITION E V E R E T TCITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov j www.everettwa.gov/permits (Blue+ r,Black.Ink Only;Pleased.,. .,,t: PROJECT SITE INF,ORMA1`.IrO ..,.. ,. .. ,..,..,., , s,., ; A PROJECT SITE ADDRESS: `7(e3 b D e a. re RME. 6 u6RE 3 'Y x3 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT iNFQRMATIOM OWNER NAME: R61,,-17 la, S (�f,a .v, TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: I CONTRACTOR NAME: A>J se FIt ee zi Spy CONTRACTOR ADDRESS: STREET j g f 4.1,aAa7 CITY eGe&R STATE LJ�6L_ ZIP 9(5-D..a 1 CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 1- ,�72431 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) 1 CONTACT NAME: rib ,5p Nbr CONTACT PHONE:(4/ j) za 2./6 cam CONTACT EMAIL: G n)cc og 53 Qt. /1.=-4 .. „_. , „BUILDING INFORMATION . ¢ro,. s Existing Use of Building: Contract Price of Work:$ 6.IP' °J Proposed Use of Building: Heat Source: ❑Gas 0 Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ODuplex ❑ADU El Multi-Family-#Units: El Commercial ❑Accessory Structure Type of Project: ONew ❑Addition El Remodel CI Repair ❑T.I. ❑Sign OSprinkler ❑Demolition ❑Change of Use 41 DESCRIPTION OF WORK: Gl+S / ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLI,CATIOhl1,.,: ., .,,, PLU11i1BI G,PER YIIT APPLICA tON.;`-. Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures NC—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..! $0:0#001010***001011eP 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.l 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 PERMIT I2 D (f O t O Owner/Authorized ent Sig ttuure Date (Revised 4/15/2019)