1801 VIRGINIA AVE B 2020-04-02 - Laserfiche WebLink

�, PERMIT APPLICATION BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION CITY OF EVERETT PERMIT SERVICES ,y// -41.., ' 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 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 ADDRESS: /IC)/ VBA-4l Nita lav PROPERTY TAX#: 0 CN L 3 pts40=v3 j0 0 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: -ESv -f4I S TENANT�/� / NAME(If Commercial): 9 OWNER MAILING ADDRESS: STREET /gU( 1lLA. I Al/Ii 10'i V � CITY r\y jTi STATE IA/ ZIP Ir�4 . .I OWNER PHONE: 12.g.-312 9509 " OWNER_ EMAIL: MIA CONTRACTOR NAME: 5LA JiC*.ICA't!L(/J'f�G/""r/G&S CONTRACTOR ADDRESS: STREET Vi ( 11 Z f1-.RA/ ,A ! Q CITY 44:3114 LL STATE ♦;/v-A ZIP -JV f0I L CONTRACTOR PHONE: qt-5—it$O—164 z, CONTRACTOR EMAIL: 94NaA.Nce a. Cg.Attu✓•CSA'[. CONTRACTOR LICENSE#(REQUIRED): SlItaAeS(56.3.3'lf CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):12-6,S 2.. PRIMARY CONTACT: 0 OWNER , CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: F6ffN ( 444 CONTACT PHONE: /24-^tt81-oiI4,4,O CONTACT EMAIL: 54 J Anicew 4i/2.. . I4t/V.6.44 BUILDING PERMIT APPLICATION Existing Use of Building: sec.- Contract Price of Work:$ 4441TZ.D 13 Proposed Use of Building: $'r(1...- Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached OFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition 4Gagemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: /A/5J4 ,9 maw &iv plluvic.4C/g_ /4/5-454,..r- ASSOCIATED '/c-/ r ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION`' PLUMBING "PERMIT APPLICATION , Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) 63Forced Air Systems Unit Heater Bathtub Urinal 4 Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration— Shower Floor Drain — C " J Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: _ Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER`/SUPPRESSION SYSTEM ' ` Chemical or Water I 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. v City of Everett Official Use Only ,e' --23. 1-) Po\,t PA 0 — d S Owner/A oriz=. A.-nt Signature Date (Revised 9/23/2016)