5409 S 2ND AVE 2020-06-15 - Laserfiche WebLink

FERMI IT APPLICATIONt 'VPBUILDING I MECHANICAL I PLUMBING / SIGN / SPRINKLER/ DEMOLITION T //'- CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits to or ,t!adI. Ink Only PIeese) 'ROJECCT SITE INFO, MATI.M PROJECT SITE ADDRESS: 5 yel n t ?- -, ,4 7.11 , PROPERTY TAX#:Cj.2, 7)3 L i 7 OQ ()\, LEGAL for new construction: Short Plat/subdivision _ Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Ce frier-pi ii 4- )opt I LtC TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 5��0�p(y�� 7i"� OLE.) t 619,703 cITY .CLVZ'` STATE w r ZIP OWNER PHONE: ,. q —L 1 OWNER EMAIL: C C- 5e, �6�"�, r £- - CONTRACTOR NAME: I t) 0 CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: tg OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: /� - � CONTACT PHONE: ` 00401 _,..tits, clu s( c WT�� 5e,A00 CONTACT EMAIL:L�/,I,S SC©��C ,• ••'„- •Nil LLAtt.loer ii ,t0111 BUILDING PERMIT APPLICATION Existing Use of Building: ' F Contract Price of W :$ H C Of • Proposed Use of Building: SF V-.. Heat Source: Gas ❑Electric ■Other Building Type: ' SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of its: ❑Commercial 0 Industrial Type of Project: ❑New ❑Addition I Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ,+ Cosrnef' c hmteieZ t' t?; -kt G•�j4 ' u dAie EVe lax)16,1 MSS �v: t,, #*._ ",�► / ASSOCIATED BUILDING ERMIT#(if applicable): > r -14-41 b'►9 I /L(P�J. 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 Gas Piping Boiler (.) Lavatory(Wash Basin) Drinking Fountain y- Water Heater Refrigeration 2 Shower Floor Drain Gas Fireplace Wood Stove l Kitchen Sink&Disposal Grease Trap Gas Range Ducting l Dishwasher Roof Drains Clothes Dryer Hookups Other: 'Zr Clothes Washer Medical Gas / � _Range Hood A Water Heater Other: / Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER I SUPPRESSION SYSTEM (Chemical or Water I INo. of Heads ACKNOWLEDGE NT: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, ate,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 ORc' I 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 Com withe State Contra ors Law 18.27 RCW and 296.200A WAC. 7 City of L Everett Official Use OnlyO /ILII (..,..• _1 _ , P IT# vCl�09 ` W L w r/Authorized Agent Signature Date (Revised 9/23/2016) 0-2)