3323 HOYT AVE C D 2020-06-17 - Laserfiche WebLink

II I II I 477---- PERMIT APPLICATION BUILDING tMECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (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 ADDRESS: 17 2 3 t. ,yt-Av.e., pc beta 64- lJ PROPERTY TAX#: GG to C7 9d6I e6.0 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: 7 7 2.7 ki,y f 4 #t. L C G/ p TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET t(fit( L/11'T, ! I• Lief CITY 1. y 4 ite0a STATE 14. ZIP J a ,5-7 7 OWNER PHONE: Z('j C Z Pi---J?0( OWNER EMAIL: 46/44 A . a lc )PJ' Cl C elf CONTRACTOR NAME: `„e4ods41 edj. .G CoAf7'/✓4e-T?a1l L4c.. CONTRACTOR ADDRESS: STREET 1777 f' 174-1u)f s, !'/'#' 4: r/7 CITY Pep- /t)ii-teis STATE It/4 ZIP 9'6'2,7, CONTRACTOR PHONE: ti Z.,r 1?0— 0,?rd CONTRACTOR EMAIL: ,/-4dAy.QGh 4 fs® 9101a"(.G Bh, CONTRACTOR LICENSE#(REQUIRED): L F,4 D T C P7 2 07 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER *CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: // CONTACT PHONE: 1124::p7, G,, 5- 2 , �VCI' 1r',e h 4 4 CONTACT EMAIL: k VCn `Z aavl/74 / •rich BUILDING PERMIT APPLICATION Existing Use of Building: —CP(? Contract Price of Work:$ 7 0 G/o Ga Proposed Use of Building: 2 h`M ell, '14/S 141,6„44.,..2- Heat Source: Gas DElectric ❑Other Building Type: DSFR-Detached DSFR-Attached Duplex Multi-Family-#of Units: '2 DCommercial ❑Industrial Type of Project: ❑New DAddition ❑Remodel DRepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition OChange of Use DESCRIPTION OF WORK: e I(,�,,moi(( p��A ,,,�Q. �6,.,�d hew air/ � �--s��`rYy . 1 f ff1�c'r �<//40 ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New _ Addn _Alteration _Reps', Type of Project: _New Addn _Alteration it #of List of Fixtures #of Lis .f Fixtures #°f List of Fixtures #of ist of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units 'eat Pump G Toilet I ckflow Preventer(Inside Bldg) ^2. Forced Air Systems Unit Heater Lf Bathtub Urinal G Gas Piping Boiler 4 Lavatory(Wash Basin) i Drinking Fountain Lj, Water Heater Refrigeration Shower Floor Drain 2 Gas Fireplace Wood Stove Z. Kitchen Sink&Dis..al Grease Trap Gas Range • Ducting '2. Dishwasher Roof Drains Z Clothes D -r Hookups Other: '2. Clothes Sher Medical Gas 1.- Range .od 2 Wat-. 'eater Other: 7 Exh..st Fan 2 (Service/Bar/Mop/etc.) Other: 'RINKLER/SUPPRESSION SYSTEM a:LChemical or Water I No.of Heads r " X �� tAL-A----. AC NOWLEDGEMENT: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. �7 — City of Everett Official Use Only %,� � J-�RI' l� PERM#t g.t) -.® Owner/Authorized Agent Signature Date (Revised 9/23/2016)