2911 CALIFORNIA ST 2020-04-01 - Laserfiche WebLink

SIM 112 PERMIT APPLICATIO BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION EVERETTCITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 f(E)everetteps@everettwagov I womeverettwa.govipermits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 2 V/ eAkofc-0,02.4.,7A 4116 PROPERTY TAX#: 00$ 9 3&&3700 0,047 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION cms -onl OWNER NAME: e Ve/2,677 Pa 464/c Sc.4roo 4 5 TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 39 CITY eve:1.977m STATE VA ZIP 9 g120 ill OWNER PHONE: 112:5,3 g.5-..., goo OWNER EMAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS:ADDRESS: STREET /53/4 1 e, s -Ai ".4 ...Co/r CITY i 6, t...4e.y ii e STATE \V A ZIP 9 g O 07 CONTRACTOR PHONE: 4/15-2 - 0Z/3 CONTRACTOR EMAIL: HAM/ /S /104,ntb egg ez,# Co"7 CONTRACTOR LICENSE#(REQUIRED): klouvib d. 40 42 co.m 6 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): e457 085 PRIMARY CONTACT: DOWNER 71KCONTRACTOR 13 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: .9.j.5- -~zg.6---A 2/3 1\1 A+ICAI 5 A-Nro 5 CONTACT EMAIL: A/A-N 415,0 140ar1b 6/2.10,D . BUILDING INFORMATION Contract Price of Work:$ 2-1 i al°O' Existing Use of Building: f3 U 5 to 44144R-1-6 Proposed Use of Building: 15 t)S 6 41-12-14 61 C Heat Source: OGas EfElectric 00ther BUILDING USE: OSFR OTownhouse ODuplex OADU OMulti-Family-#Units: gbommercial DAcCesSory Structure Type of Project: [New OAddition ORemodel E1Repair XII OSign OSprinkler ODemolition OChange of Use DESCRIPTION OF WORK: a f n„,„,,,,e- q LA.tr s 045-1-4u... I WC.j t LAI/1 i F CP ) I 5 f tsi te— ) p IV"'r tr,C p ISA I etii4.51,16YZ 110614 1)/3) ptiottiPe W h*Mr2.- Sttel-if i e-6. rb P-CP12.1q.C11-144ro ASSOCIATED BUILDING BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture zzee.)0(7Fixture Fixture List of Fixtures Fhlum List of Fi res - ., List of Fixtures List of Fixtures count Count u0Illit CCU:It , ,AIC-Air Handling Units Gas P g Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler G Range Clothes Washer Sink-Commercial(3-comp,prepilmr) Clothes Dryer eat Pump&Ductiess Dishwasher Sink-Residential(icitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain I Sink-Utility,laundry,mop Exhaust Fans(Residential)/" Commercial Ventilation I Floor Drain I Toilet Exhaust Hood(Type l) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Typj4 Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood sidential) Wood Stove Interceptor-Sand/011 Water Service(behind meter) Forced Air terns Other: Medical ORS Water Valves or Fixtures Gas Fir ace/Insert/Log Roof Drains Water Heater SPRI LER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppggsion System I Nwoo..oeff HHeeaaddss Chemical Suppression System ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correcL Work done pursuant to this permit must comply with current federal,state,and local lam 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.lam the owner,or lam authorized by the owner of this property to perform the wrok for which application is made, and I comply with the State Contractors Law 18.27 RCW end 296.200A WAC. City of Everett Official Use Only . 4101111 F•EF #\g k n _ co \ / y/9 OwnerlAut-,4 OIL ant SI.net. Date (Revised 10/10/2018)