2727 BROADWAY 2020-05-07 - Laserfiche WebLink

(41Err PERMIT APPLICATION BUILDINL I MECHANICAL/ 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: 27 7 -8-10k1.A1 PY PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: QAC 1)'(C .4.A-5, L LG TENANT BUSINESS NAME(Commercial): 7-4-CO OWNER MAILING ADDRESS: STREET I/l ,�tl, 39"1"Wr � 5 CITY V k/ c,0uU( STATE AI ZIP `Q Cry OWNER PHONE: 3600 -614- 78 55" OWNER EMAIL: At V kll04-(.tONF,Z- N-CGr/C-13 Llr.COH CONTRACTOR NAME: , / , EiI�L 7i'r cop!57L(trt O/4 7 LLC CONTRACTOR ADDRESS: STREET /0701 NE COX Lb" Z I(/ CITY A,41 C.0 a ( STATE Wil ZIP 986 Z CONTRACTOR PHONE: gI'o0" 9234 CONTRACTOR EMAIL: °.bP,N El`-71er,NE/7" CONTRACTOR LICENSE#(REQUIRED): 1>13,54k1 7 pj C e6 5 Lit) CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): (p 0 30 7 PRIMARY CONTACT: ❑ OWNER CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: lac MAX* CONTACT PHONE: 3(p 0 —6/s —q Z34 CONTACT EMAIL: .1:16.4.1 Co 'EE47(E'70, 147' BUILDING INFORMATION Existing Use of Building: 7M57 `T Contract Price of Work: $ �tOr '5i+ WOV yC- +7254-- Proposed Use of Building: `t5t6.171 Heat Source: aGas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition )Y' emodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ,Li(Demolition ❑Change of Use DESCRIPTION OF WORK: ?A- 7lAL, tar- v.EMoL17/"/ Or tg157/M QL{lC4 S Y -e, .71-ur 1. :/ E) 04-1(41.14(.1. 7D 36 R.f�r46Z/JCD 812ACEl.' /'&/C ASSOCIATED BUILDING PERMIT#(if applicable): Et?At2E.Nt E"yry ref 'RSC E 37-1 L./. MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures coeur 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 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 l ply with the State C.n ractors Law 18.27 RCW and 296.200A WAC. f(J City of Everett Official Use Only �. 2/Z7/ PERMIT?)\ :\ t DI g Owner/Authorized A ntgnature (Revised 10/10/2018)