3231 BROADWAY 2020-04-01 - Laserfiche WebLink

NMI PERMIT APPLICATION BUILDING/MECHANICAL I PLUMBING I SIGN I SPRINKLER/DEMOLITION E T TCITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwagov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: "2)2.:2D\ 1'-DtzGtW C?._(_.,(),- PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: 2.\ch svet.� .,l t;,. TENANT BUSINESS NAME (Commercial):G(�( rviaro. BBdJ OWNER MAILING ADDRESS: STREET J4I° ptne_ s4. . CITY Eve.4-e_it- STATE ‘14.-APV ZIP CI sz2J) 1 OWNER PHONE: ZO Le Sy S 1 ci 3Z OWNER EMAIL: CONTRACTOR NAME: EUt Z6GeZ�j .^ .�t9,4-Tr;� /fj�/' MAL- CONTRACTOR ADDRESS: siREET 11 Zn i Ac_t t, CIN V��ZI:ZTSTATE LA141ZIP 5.1Z11 CONTRACTOR PHONE: Ial z.sZ-.3/(Li- CONTRACTOR EMAIL: ,eek Q,tr)SSe--e...0 - Wa%COW1. CONTRACTOR LICENSE#(REQUIRED): 0U GU .502:-Z01---- CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):06-7'155 PRIMARY CONTACT: ❑OWNER yq CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: - �ih a,r 1 sse. 610r\-elc CONTACT EMAIL: ,Ch L1risSS mvJ a-' C ern BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$ 1340 Proposed Use of Building: Heat Source: ' Gas ❑Electric DOther BUILDING USE: ❑SFR ❑Townhouse ❑Duplex DADU ❑Multi-Family-#Units: 4Commercial OAccessory Structure Type of Project: ❑New ❑Addition ORemodel ❑Repair 3.f.I. ❑Sign OSprinkler ❑Demolition'{ ❑Change of Use DESCRIPTION Or WORK: Vsury\o\I e. * pca(Q., `A.�i t c GGL4-,.Cl.. t r. 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 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 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) rForced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains f 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 6. � Z 1 ! i0 PERMIT#n 032 J OM ay\ L Ul,W1 J\ PJO r'l/t I ner utho ized A ent Si nature DaPe Revised 10/10/2018) r g g