12011 19TH AVE SE 2020-06-15 - Laserfiche WebLink

PERMIT APPLICATIOIi1 MI BUILDING-;'IECHANICAL / PLUMBING / SIGN u isPRINKLER/ DEMOLITION EVERETTCITY 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 Ari�EVS: o-19th Avenue SE PROPERTY TAX#:00463900101100 LEGAL for new construction: Short Plat/subdivision Blk. 1. Handson's Add. Lot No. 18 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Emory's Lakehouse LLC TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 11830 19th Avenue SE CITY Everett STATE WA ZIP 98204 OWNER PHONE: (425)232-8809 OWNER EMAIL:emory.cole@gmail.com CONTRACTOR NAME:TBD vY/"1 iftq, - / i f / £f U 1l CONTRACTOR ADDRESS: STREET "� CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: .J% LD ?J 7ZJ 1 11.) CONTRACTOR LICENSE#(REQUIRED):ii,E,A,DIE c SI 2'01 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED)0111A PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) Architect CONTACT NAME: CONTACT PHONE:(425) 348-3975 _ Fred Baxter, A.I.A. CONTACT EMAIL:fred@baxter hitects com BUILDING INFORMATION Existing Use of Building:vacant Contract Price of Wor :ownjetta T•Z S - Proposed Use of Building:Parking Lot(future commercial bldg.) Heat Source: OGas DElectric Cl Other NTA.Parking BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU EMulti-Family-#Units: AC... ercial ❑Accessory Structure Type of Project: ✓❑New el ❑Repair ❑T.I. ❑Sign ❑Sprinkler ©Demolition ❑Change of Use DESCRIPTION OF WO : Demolition of a two story commercial building (2,632 s.f. foot rint).a • ASSOCIATED BUILDING PERMIT#(if applicable): -_ ►i '•;'-a 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- - p,prep,floor) Clothes Dryer _ Heat Pump&Ductless Dishwasher Sink-Resid-• .- kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Si . I Ity,laundry,mop Exhaust Fans(Residential) Commerci• •entilatior Floor Drain Toilet Exhaust Hood(Type I) (Not -. AC system) Hose Bibb Urinal Exhaust Hood(Type II) • er Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/a' Water Service(behind meter) Forced Air Systems Other: Medical G-- Water Valves or Fixtures Gas Fireplace/Insert/Log Roo s ains Water Heater SPRINKLER/ SU • 'RESSION SYSTEM ewage Ejector or Sump Pump , Other: Water Suppression System !No.of Heads Chemical Suppression S - -m 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 wi the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only / .; 6 ( 2 '1 T#� CGI -�`A Ow er 4 orized � Signature Date (Rees 10010/2018) i / Z