10210 EVERGREEN WAY 2020-03-06 - Laserfiche WebLink

mil PERMIT APPLICATION LI BUILDING / MECHANICAL I PLUMBING / SIGN I SPRINKLER/ DEMOLITION EVERETTCITY 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 PROJECT SITE ADDRESS: (_ 2_ ( ) EL,eI c)v L)(...?&, /, ixe PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION (=.ie.fz-rt tvnrys `- OWNER NAME: 11-)r_j3-0--)e-67\-Cin CfV\ IN)&.2L. f,TENANT1BUSINESS NAME(Commercial): `E-,'1 w�•kCJVI• OWNER MAILING ADDRESS: STREET,.1,5-100 IllCJ^NS( °�LAJ 34, 12 I A Q�3 CITY t-Li tya( C- p STATE W ( iN ZIP e,), --i, OWNER PHONE: J OWNER EMAIL: CONTRACTOR NAME: cf9 Vi-1 1 .1\,AAL CONTRACTOR ADDRESS: STREET / / y',^.� //�� CITY V--,t V 1 9✓�,d STATE \ .) / ' ZIP a 8(,/mm CONTRACTOR PHONE: (1-1,2.-1- ) e9-0-343cCONTRACTOREMAIL: In pert-L.6. I 1,1,11 pvLb)d(o'i CONTRACTOR LICENSE#(REQUIRED): ©?`fi , V\f3 Sjk`f4CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 5 C PRIMARY CONTACT: 0 OWNER FfCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: .32_kf - 9eseZ CONTACT PHONE: (9 2s) e' J'"3 LA 31 �'�'l CONTACT EMAIL: IACce CO ; D 1 fil(_v, (Q inn BUILDING INFORMATION 1 Existing Use of Building: ' Contract Price of Work:$ S )P/ Proposed Use of Building: Heat Source: ®Gas ykElectric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel DRepair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ,iq v4J 0 V11i" Ironan, ASSOCIATED BUILDING PERMIT#(if applicable): s‘VI q n-- o (. 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 NC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) 55 Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless ZL Dishwasher 102, Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain D., Sink-Utility,laundry,mop I 02\ 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: 14\,(vc-,,„,,ap Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER f 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 b •ng autioriz 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 comp wi t e Sta e Contact rs Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT Owne Authorized ent Sita a Date (Revised 4/1/2019)