4810 S 3RD AVE 2020-05-21 - Laserfiche WebLink

PERMIT APPLICATIG • in BUILDINti MECHANICAL/ PLUMBING /SIGN I .SPRINKLER I 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 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) / PROJECT SITE INFORMATION PROJECT SITE ADDRESS: Ill C) SL)ii/I 3is4 4J.e PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: C.� L in/ 1% )poi,f °jr•y So Ict' i6ns Z1CTENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET l 1,11 7 `•I IV f 6-e1 se Y .St 5i-p ( 05 I :-13 CITY / '/On VOA. /,STATE VA zip �l �( 2 OWNER PHONE: 1106 ---: 749---.3 676. OWNER EMAIL: CONTRACTOR NAME: CJ •J'e cc,, s• -rA(1-/o/^ CONTRACTOR ADDRESS: STREETt\7(/6 '6/ / N.E a IS (4s r id /4 (,/a /�/[// _ CITY 1/Ay j"yi WI.S A STATE V ZIP / T 2.�� CONTRACTOR PHONE: 1106. 3 7 b "1 1'� V'6 / CONTRACTOR EMAIL: C x it 2- c� yngll i lll1,L ,� r U n CONTRACTOR LICENSE#(REQUIRED): C� 1 E. MC$n G J CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: $OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: '10 6 •--- 9 D --?>6 )f' CJ tel.-.. f e S 5 i(I CONTACT EMAIL: x )'�/) i5 ,2 0 /nG 1 I ..(Gf 1y/ BUILDING INFORMATION ✓ Existing Use of Building: ,jjr,gic --)Q 11/1;I lr (PeSc'cieits' Contract Price of Work:$ ..Z.6117-6-5 1172DiCCO.ca Proposed Use of Building: cri,j le -JQgy/;j y g s S zA ovi$ Heat Source: ❑Gas N Electric ❑Other BUILDING USE: 7ISFR ❑Townhouse 0 Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition pl Remodel ❑Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: A/ is , •v ' _ _ 1 _ C Tom+h 1 -6741-`0-44-4-6.--- 7-- 07 .fy J -� .r_. " -.. . loo-f U�/e tr reTlc 'P .y t► 1 e �`o r k 11151A/L+11(1(‘ ASSOCIATED BUILDING PERMIT#(if applicable):: MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixt • Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixture NC–Air Handling Units Gas Piping Back , Preventer(Inside Bldg) as. Shower,Tub,or C.••.o Boiler Gas Range Clothes Wa••er I Sink-Commer •. (3-comp,prep,floor) j Clothes Dryer / Heat Pump&Ductless / Dishwasher -4 Sink-Re '.ential(kitchen,bath,bar) Duct System(Remodel) Refrigeration , Drinking Fountain S'. - tility,laundry,mop 3 Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet j Exhaust Hood(Type I) (Not Heat/AC system) / Hose Bibb Urinal Exhaust Hood(Type II) I. Water Heater .$ Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil er Service(behind meter) Forced Air Systems Other: Medical Gas Water yes or Fixtures Gas Fireplace/Insert/Log Roof Dra'• / Water Heater SPRINKLER/SUPPRESSION SYSTEM S- age Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System No.of Heads. 1 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 L. . : ' RCW and 296.200A WAC. City of Everett OfficialUse Only --409744.11..:0-0001e e i( / PERMIT, V v Mo`-IC� 0. e'rut',"ed Agen «"' 'm— D.te (Revised 4/15/2019) 1