2802 VICTOR PL 2020-06-03 - Laserfiche WebLink

OSErr PERMIT APPLICATION BUILDING i `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 Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 2..gO V IC7'©V... pL- y€4 c_TriPROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: (,JA LT CR DI A2 . TENANT BUSHINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET /92 t-:v 8 'it' 76 Ave • CITY j y/v itiW 0 0 p STATE 611A ZIP 7 3'036- OWNER PHONE: _725 35/ (7924-J / /OWNER EMAIL: CONTRACTOR NAME: XV 2 (W4 #i'fC /LC. ( /n) CONTRACTOR ADDRESS: STREET /$4"Z$' -57e (' 5 0,744- 2 /�/�/^{ CITY.'/121 "?r I4 STATE /,v /` ZIP � z CONTRACTOR PHONE: V25---- J/[ d,5"-<77 CONTRACTOR EMAIL: y v-evG z. /f.-3 e__d 04I 0 k.,Gp n- f CONTRACTOR LICENSE#(REQUIRED): /0.4,oireA$y/3'' CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):c5S 3576 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CG/.z�- _9,y D5-yc/ ril6011Z /7Za le-J- CONTACT EMAIL: L ,7e,,8_,,,ZO(S-3�Otrf(00 • Cor'' BUILDING INFORMATION Existing Use of Building: Contract Price of Wor4 35"-C)C--'o d ) G Proposed Use of Building: Heat Source: LEJas ❑Electric ❑Other BUILDING USE: la'FR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: Flew 0Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTIpN OF WORK: . /=(�-I°�Qi _. "--."7-C1i( " t././71'4-c711/6 f ri ✓e't74-4yt/+%de Pr�.e 2 ® IIc " 610-fe" 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 3 Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler AV 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 IA 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only RM # �� f PE ��0?)-I— 02.E er/Authorized Agent Signature Date (Revised 10/10/2018)