2609 CHESTNUT ST 2020-04-01 - Laserfiche WebLink

IIIIII'' PERMIT APPLICATION II IIII IIII''II BUILDING I IUIECHANICAL/PLUMBING/SIGN/SPRitaKLER/DEMOLITION _ CITY OF EVERETT PERMIT SERVICES Ne41 3200 CEDAR STREET,EVERETT,WA 98201 (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 ADDR 6e1 c ileo+ s T Itv f- PROPERTY TAX#: tlf q I z01 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Ctrs. CaYlrA L, (. TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: IA 1 SI V f C le—y 12. y"„,A j 1 1 �Y LLC CONTRACTOR ADDRESS: STREET ' 1y kr) lot- ( tib S~1-- - 614. CITY i ( l(Act cid) STATE WA. ZIP et ba 3 9. CONTRACTOR PHONE: �ZO O £ ' -o66 7_ CONTRACTOR EMAIL: (R-(19 ey,G,,.....14,W„4..0 5 Y., ( ow) CONTRACTOR LICENSE#(REQUIRED):JU IA/I Lu 135 E3 113 ). 3 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE( .Q 6) Zq O tiC°I 6�(�� 'Z— ^ y i S C.�0.1 �� CONTACT EMAIL: i Yom, 6 ielc)- e ht W e,.% 4- ,S '• 40I' A BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$ I I / ---q.O 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 DTI. ❑Sign ❑Sprinkler ODemolition ❑Change of Use I DESCRIPTION OF WORK: --fes--( Cr T T a�0 Ya- it cC 0 w jo s t4Poo 5 k i yN. l� a yi�t 0 ac— Lc.L`teat” Ce_cL'( S C y_@.S( 1 As U .\( 7 I O S Q vu t-} V\ V Cn: \Sf &v S (As°�� -3° `f `cS- Composts;-dA sl,t iAell€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 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) 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.-ing 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 wi. e •I,:to Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only J fri I If d 7 I PERK " l \- 00 \ O^"'r/Aut gent Signature / Dat (Revised 10/10/2018)