2705 TAYLOR DR 2020-06-03 - Laserfiche WebLink

mom - I� PERMIT APPLICATIOI—II� az BUILDINGJECHANICAL/ PLUMBING /SIGN I SPRINKLER/ DEMOLITION EVERETTCITY 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.bei$Rack I nk_Only Please).. E._//..PROJECT:SITE`INF:AMATION .I ..... ,...... . _._'.. ��f PROJECT SITE ADDRESS: y 1p2 717,41V . PROPERTY TAX#: 4;04 1 77/-1 Ocjoo(' LEGAL for new construction: Short Plat/subdivision Lot No. 6 (attach copy of long legal description) CON i!I�I�T lM�oWMA;TMON hzYx _.Mr. OWNER NAME: 4 j, ti /4A/ 71, (11,t/ --y TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET A7256 7y/0/Z., tDi% CITY ) 1/aFt.E frr .., STATE U) ZIP 56'G 3 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: ©GJ N E R. CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR MOTHER(Please Specify) 274 N J,ovg CONTACT NAME: CONTACT PHONE: ,./A0 ac 3..... 7 7 7 2t t/ V.A., CONTACT EMAIL: c/jm iti bov Ey — hp,---/-0,24/(e s BUILDING at+NPORMATIOAIr t, > Existing Use of Building: Contract Price of Work:$ R,0 b , Proposed Use of Build' g: Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: LM'SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ' 1tGA w ,OCtG G of 0 ►v' co ASSOCIATED BUILDING PERMIT#(if applicable): ... .MECHANIGA PERMIT ►PPLICA`fIIOA1 ... ._. , .PLUMBIN PER 11MIT A LIC.I TI00.. ,, , 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 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 f 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.lam the owner,or lam 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 PERMIT#� /7 �0 1- ( I /i Y C/� Owner Au ho ed - !.'magna•�r Date (Revised 4/15/2019)