7918 W GLEN DR 2020-03-06 - Laserfiche WebLink

PERMIT APPLICATION■ BUILDING/MECHANICAL/ PLUMBING/SIGN /SPRINKLER/DEMOLITION ';$40,-4,440w1 CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 7G' ‘cic ix), C71DX\ Cyn PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: t ( E` r`i–\ .Q A)15—_ e'(cej TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 37() 1,)F Cor.no C \t") ci CITY f-�--tPS' nl.�\ l 7 STATE 0�. . ZIP CrA.. 5�> OWNER PHONE:(3(.0 b)3q,�� 50�� OWNER EMAIL: a L– 3 X - l c,LkDo C' CONTRACTOR NAME: 6ci-N l p_A lS= E'_\C1 j ��C� CT:)A '\ o `r-) CONTRACTOR ADDRESS: ST ET (UTI) ///�� Co arE CTC.-2) CONTRACTOR PHONE: [CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 72)(4,C) ' ( 30 `PA-6\S ALS CONTACT EMAIL: Q i 3 Ke-4, (AOO^COM BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$ ©° .°' Proposed Use of Building: Heat Source: ❑Gas DElectric DOther BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New DAddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition OChange of Use DESCRIPTION OF WORK: c-voLko \ l I ASSOCIATED BUILDING PERMIT#(if applicable): ) • -R-0'4) CQ4P 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 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/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 WAC. City of Everett Official Use Only PERMIT# /41/ieze NA/ I. r eD` Owner/Authorized Agent Sit attire nate ` (Revised 10/10/2018) 41111p