1111 35TH ST 2020-02-24 - Laserfiche WebLink

PERMIT APPLICATION BUILDING /MECHANICAL/PLUMBING/SIGN /SPRINKLER/DEMOLITION CITY OF EVERETT PERMIT SERVICES '_M�� 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 (E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION f PROJECT SITE ADDRESS: f) I l (PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION a OWNER NAME: 4 n>7 0, 1- 6-2Sd N TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET L!/j/ �S= ST- cry . / cn �i Uel 7T STATE WA- ZIP OWNER PHONE: �as_ 737 000/ OWNER EMAIL: c?eir. "/1^�S?Q 0>'.C CONTRACTOR NAME: 0e-07z. — /411y7 P-PccSB--).•_- CONTRACTOR ADDRESS: STREET S e- /r5 ./f 64 )&' q, CITY STATE ZIP CONTRACTOR PHONE: t CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: `OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 1,/ 737-ooD/ l% CONTACT EMAIL: Gera'rys-G�irLs U c)/...e dYil BUILDING INFORMATION / ✓ Existing Use of Building: Contract Price of Work:$ Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: :j7.4 sr p u tirl aSSi t�ZI -- �j� aSVYt 7 i' /r? 4:44 cJ y ,P pd la._e-rrif/f u r r/ 6—'t a S 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 j,' Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler }A 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 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/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 1 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 OfficialUseOnly 4rl/ /9 pEThA.ot Owner/Authorized Agent Signature Date (Revised 10/10/2018)