2230 RUCKER AVE 2020-04-02 - Laserfiche WebLink

Ems PERMIT APPLICATIOr " BUILDING / MECHANICAL/ PLUMBING /SIGN J RINKLER/ DEMOLITION E V E R 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@everettwa.gov I www.everettwa.gov/permits (Blue or4Blaek Ink a l ly Pleaset .. ., .. , s,.:_,PRO EGT ITE tINFORMAIIO ., h� .�.. ':,.. , `, . :. . ...... ,,, PROJECT SITE ADDRESS: 2_2. :�o R UGxE e AVE PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) rggCONTACT INFORM TIOtiV.. ., , OWNER NAME: LAMA j SZ-oW TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET a Z 3) R,V f,)C,Ef Q IAV C CITY E VL IZ ( T STATE \,(,f jQ ZIP !g ao J OWNER PHONE: 412--5-' 3 4/3 -ZS ZS OWNER EMAIL: CONTRACTOR NAME: =1•14:-R./) Sc -'- LctSES v.Zc_L.. S L. L..C.. CONTRACTOR ADDRESS: STREET 4L03 &TG l'Ae_T` P-- CITY CITY SU t4 r`.1 t STATE Alit ZIP 98 093 CONTRACTOR PHONE: 6Z,S' ,5-1 Co ' i 88 CONTRACTOR EMAIL: R- y, AL c c'"-1 t e f�fG S t.i.Co tv-7 CONTRACTOR LICENSE#(REQUIRED): 3 i. 4 NRA L nl ( C., CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):US I�Oej PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 2_53 3 70 - 7c9-0- 1--0 C2-1A/Q aL-OCnA/Q M1.1‘6.=2 CONTACT EMAIL: : <,. '. ,.. =.E*.IILDI G. RP'ORMATiO 1 ., . . ::. . „z. _ , an Existing Use of Building: . Contract Price of Work:$ 1, 000. UO Proposed Use of Building: Heat Source: jeaG'as 0 Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse 0 Duplex ❑ADU ,Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: V L^ �j h 7-C^`(Z • t4L LPz...4T�. © (= T ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLI CATIIDH,. r. _.: PL U07#01 r PER.M.ITAPPLICAT1,074>. FixtureFixture Fixture Fixture List of Fixtures List of Fixtures List of Fixtures, List of Fixtures Count Count Count Count NC—Air Handling Units (9.... 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 SPRINKLERkSIUPPRESSIO 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.lam 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 l ooff Everett nOfficial Use Only ''''--7 / ...— ' ��/� PERMIT `" , 0l.� Jbi Date (Revised 4/15/2019) Owner/A4ithorized Agent gnature