2701 12TH ST 2020-05-06 - Laserfiche WebLink

RMIT APPLICAflO1— A°114-11J-"A OW BUILDING /MECHANICAL PE/ PLUMBING !SIGN /SPRINKLER! DEMOLITION CITY OF EVERETT PERMIT SERVICES 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 ADDRESS: 2,7C)i - 7HS�. oie 7Tj \j.J PROPERTY TAX#: 2.cia_s7 70010 32 00 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: v TT �J a ('zifrN TENANT NAME(If Commercial):Vi)Cy GO y4 5 QA-c .......?Vitt: & OWNER MAILING ADDRESS: STREET 3 167 Co!b Am!6 CIT7 STATE V\J A ZIP 982_0 i OWNER PHONE: � OWNER EMAIL: CONTRACTOR NAME: IIUVDO I pCtigir CONTRACTOR ADDRESS: STREET 1 01 4 to 0 tArtA,Vg CITY Ott�� STATE U 1 ZIP O Y ?' CONTRACTOR PHONE:�,�1/"l *01, )' 1.d'' g� CONTRACTOR EMAIL: l CONTRACTOR LICENSE##((REQUIRED): t91 0b2 �F\ 0,07 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED4 PRIMARY CONTACT: DOWNER ❑ CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: ' ,.,� 10 Vic--r-lo€ CONTACT PHONE: Sets-0.) - ( o4) 3 i33-0371 Smarr a`3 IM c 1C�:N M 4 CONTACT EMAIL:"r -- tAa P j Iti @€-'1 h4 . 0'2 BUILDING PERMIT APPLICATION 'L Existing Use of Building: d^e4-t LA:::-. Contract Price of Work:$�_ � •— 1 ?5!/ '7 b Proposed Use of Building: Pk c(i T,;01.3 '-ft, O ►C� Heat Source: OGas fit/Electric DOther Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: Commercial ❑Industrial Type of Project: ❑New I�OAddition ❑Remodel ❑Repair, r❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Add 2 S-ro 2 A6o'i f i Q� y -k-t,. Ee*sT S lQE o F Lxis7/�.1ev Bt,oU / X !.S EA -CI -- 13X3 ° ! 1 OTA- ., A-a® iT1Col. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPJCICATION Type of Project: _New_ Addn Alteration _Repair Type of Project: _New _Addn Ni Alteration _Repair #of List of Fixtures #of �`f of Fixtures #of List of Fixtures #of Li- of Fixtures Fixtures Fixtures / Fixtures Fixtures 1-1 NC-Air Handling Units Heat Pump / Toilet t j Ba - ow Preventer(Inside Bldg) Forced Air SystemsL Unit Heater Bathtub 1 rinal Gas Piping 1l ! - Boiler / Lavatory(Wash sl ) I Drinking Fountain Water Hea /� -' Refrigeration Shower _ /� Floor Drain Wood Stove f Kitchen Sin c 1f 1s.: al Grease Trap Gas a g= Ducting J Dishwasher Roof Drains Clothe Dryer Hookups Other: Clothes -sher Medical Gas / R.•.e Hood ! W. Heater Other: C xhaust Fan / Ink(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 be re 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 wit th State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only ‘4 _ ..7`- / S PERMIT# 103047-(03a Owner/Authorized Agent Signature Date (Revised 9/23/2016)