1500 52ND ST SE 2020-06-15 - Laserfiche WebLink

NNE PERMIT APPLICATION al BUILDIN=..IIECHANICAL/ PLUMBING/SIGN l ill"RINKLER I 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 Blank ink Only,Please); PROJECT SITEINFORMATIK N t PROJECT SITE ADDRESS: ! 0 0 c 2, j... PROPERTY TAX#:23 0 TDe 00 100 106 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) C ONTACT INFORMATION.. . OWNER NAME: ✓ R ---t---r Go L ' ctv,,,,..j TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 1 S..DO ^' 52...., 4,-,. C E._ CITY V : Y1 STATE CL) ` ZIP OWNER PHONE: "T 2..r- ` I "C I OWNER EMAIL: CONTRACTOR NAME: TGO t^"(, , 1 CONTRACTOR ADDRESS: STREET I�3 �-W00( f^i v Ho3 4 ��/ /� �D CITYVi.)-1-1-4 E STATE W ° ZIP% 0 t j CONTRACTOR PHONE: L)2 f-- 2 0' e)3 5- 7 CONTRACTOR EMAIL: VeztA p71-44 CONTRACTOR LICENSE#(REQUIRED): ( f (.......u? 4-62 2 P 2.-CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): iflqfv PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR EL.OTHER(Please Specify) CONTACT NAME. CONTACT PHONE: 6 . q20-- 3-c'-b (2A cE„ I r-(or a J CONTACT EMAIL: to 1.%: p,a�, 0-.. L oAct-1 L.Cit, �! , BuILn1N01NFO10010l01+ . Existing Use of Building: Contract Price of Work:$ i It 066 Proposed Use of Building: Heat Source: ❑Gas 0 Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse 0 Duplex ❑ADU 0 Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL:PERMIT APPLICATION PLUMBING PERMIT APPLIIC,AT.OiSt ..'R9. !. Fixture Fixture Fixture Fixture Count List of Fixtures Count • List of Fixtures Count List of Fixtures Count List of Fixtures NC—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 Ventilatior 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 t Water Service(behind meter) Forced Air Systems Other: Medical Gas • Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER I 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 t 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 PERMIT1 74 //I ® I. i� ) Owner/Authorized Agent Signature D to (Revised 4/12019)