3400 NORTON AVE 2020-07-14 - Laserfiche WebLink

PERMIT APPLICATION BUILDING/MECHANICAL/PLUMBING /SIGN /SPRINKLER/DEMOLITION CITY OF EVERETT PERMIT SERVICES ti� � l�� 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT..SITE';INFORMATION PROJECT SITE ADDRESS: 41:40 07p` l7 NV e PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) AlNTACT INFORMATION p, kr.54 OWNER NAME: 6 V vTENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET Z.,9 O 2. �t7CITY 5uSTATE C ZIP �Z 0/IOWNER EMAIL: p,> ; C �f/ /,9OWNER PHONE: �5 r pL��jZ�4/6�79 147irt �-LL'W �EMU*��7 . C � CONTRACTOR NAME: ow C&X�/ 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) C NTACT NAME: CONTACT PHONE: z.1, 2 7401 v 4 6 �`�di-4CONTACT EMAIL: 1i' ri IQ rt,t.ca `, 0,--1i0,--1i BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$ 15/(909 ,. C2 C) Proposed Use of Building: Heat Source: ❑Gas ❑Electric DOther BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel CI Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPT N OF WORK: e o t CA kct ASSOCIATED BUILDING PERMIT#(if applicable): 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 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 Water Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER/'SUPPRESSION SYSTEM ; Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System No.of Heads ACKNOWLEDGEMENT: 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,st e,a 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 fore ing 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 N. the S ate Cont ctors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 4) to/ti 5w -ooS � O ner/Authori Agent Signature Date (Rev 10/10/2018)