3623 HOYT AVE 1-3 2020-06-17 - Laserfiche WebLink

III II IIII PERMIT APPLICATION BUILDINI,TMECHANICAL/ PLUMBING /SIGN I'RINKLER/DEMOLITION CITY OF EVERETT PERMIT SERVICES 4077. 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 00-1 /Vg PROPERTY TAX#: ,C,"45 14-0 t‘0 t t co LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: 3(f 2l,1✓ peiz t vi-to TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 9yggg.`0 -({7�j,I .-1- 1 (/��r/v-y� tO�` CffY �t` /3 C u F-=, / (�/,Fr ZIP OWNER PHONE: /'� OWNER EMAIL: / CONTRACTOR NAME: (� to KJ 0- /�l 1 (x-4,,F CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) A !. Or l lk . . ' \ et C CONTACT/NAME: CONTACT PHONE: (4- ` �t2 L✓1 v �/ ' �1 ` CONTACT EMAIL:riAli S q_ -M -le-A-flfAr/aE 'G:it - BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ #.2A-C)00(11c� Proposed Use of Building: Heat Source: ❑Gas El Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑DuplexMulti-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair 0T.1. DSign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: t 1) 4___ ` -`` E ASSOCIATED BUILDING PERMIT#(if applicable): 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 #°f List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures NC-Air Handling Units Heat Pump j) Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler -- Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas 2) Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER I SUPPRESSION SYSTEM Chemical or Water I 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 permituthorizes approved work and no deviations therefrom!Deviations must first be authorized in writing from the Building Official before being aut orized 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 with40 , tate Con,actors L 8.27 RCW and 296.200A WAC.0 1P) ;7 . City of Everett Official Use Only PERMIT# I-7 0 /O -1 Owner • ho ized • ent Signature Date (Revised 9/23/2016)