1630 OAKES AVE 2020-05-08 - Laserfiche WebLink

Nino PERMIT APPLICATION" BUILDING i QEIECHANICAL / PLUMBING /SIGN c SPRINKLER/ 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 1 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: /(Q 3 G PROPERTY TAX#:004 3e 2 3 3 -.6.4760 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: licit TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET JC.' jc-) /q-1etwS /4.42— �� cin, U I�OZX�=f+7 STATE 1..)".' -- ZIP Qe zo 1 OWNER PHONE: y 3'2'7-s"3"3 o OWNER EMAIL: CONTRACTOR NAME: x:cg.` /4-L&.- C NSA" LL,GT`tOts-41 CONTRACTOR ADDRESS: STREET CITY STATE 0-44A-- ZIP 96 Zcc) CONTRACTOR PHONE: yes-- 7 6 Z Li 7 CONTRACTOR EMAIL: G(; 1, totil 4;1 CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): A PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: q Z S- 7;j 4 -2 c* 7) Zir?-12-C1L-0 CONTACT EMAIL: BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$ (LOGO,'6% Proposed Use of Building: Heat Source: ❑Gas 0 Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition OChange of Use DESCRIPTION OF WORK: 12OUG�f- (ft F t 3" .rT/Llz�- 2" L.14,-LiC SiALk f. ucza.lt-- 1,r11 • qy0,Y) `k \taxT ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count 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 Ventilatior Floor Drain I 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/InserULog Roof Drains Water Heater SPRINKLER I 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 1 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 G PERMIT )( \105 -' n1 Ower/Authorized Agent Signature Date (Revised 4/15/2019)