5622 LOWELL RD 2020-05-08 - Laserfiche WebLink

r OLTPERMIT APPLICATION BUILDING/ MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits (Blue or Black Ink Only Ple//ase) PROJECTDSITE INFORMATION PROJECT SITE ADDRESS: 5 .Z b - G it,6-t, / li-P// /�� , PROPERTY TAX#:00 !Jg,5-gesc)go /f LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:/4 4n , mrp-i 4.,"y /�"i� TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET c-6.2".2"-/ LO - /7-� Re, CIN �v'Cki tr.. STATE -i' C. /ZIP ?,67 z-"3 OWNER PHONE: y2 5— 4'4'S 33G/$ OWNER EMAIL:a- a-C /hf �� 4S`/%il7Ali.'ed4- CONTRACTOR NAME: e>G'h-eV-- CONTRACTOR e -CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: Ir�OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 4/2..5-- 4/9'5- 36/s- ,4! i`%h f CONTACT EMAIL: '-c-'adb/?J (,e./ CLlih"-a. , ..,a4...4 BUILDING PERMIT APPLICATION Existing Use of Building: S"�iP Contract Price of Work:$ .`— LAC1 � • 00 Proposed Use of Building: SA/f Heat Source: 1111s ❑Electric DOther Building Type: l ' -Detached ❑SFR-Attached ❑Duplex ❑Multi-Family #of Units: DCommercial ❑Industrial Type of Project: ❑New Eddition DRemodel DRepair DT.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: �� 7--� ,e>?' -%-e�h , /Le°/�Ulr*ce C CLlpi�v-e�2' f"Ai cent % er c-�f i /hs 17 �':A-d.//4 c'e /'7 L%Id i.�y G"nc) `-zi• 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) Forced Air Systems Unit Heater Bathtub Urinal I Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain / 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. City of Everett Official Use Only Z4 a42 moi-/,,,. -/ 7 ► 0 '.- CQB 1 Owner/Authorized Agent Signature Date (Revise. •/23/2016) r