840 N BROADWAY A 2020-08-27 - Laserfiche WebLink

4rETT PERMIT APPLICATIC. BUILDIN MECHANICAL / PLUMBING / SIGN I 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: 6 70 Al L3/rCc� 13 ., riQ j PROPERTY TAX#: C:3COS.j/ y LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: 1QctH Jr,, L.7C(,0)S' TENANT NAME (If Commercial): HC. OWNER MAILING ADDRESS: STREET t-ho) E11 ate_ Ave- I,/, Su r1G L g©, CITY ceC'...-- ,G STATE (� ZIP 9.8//9 OWNER PHONE: 2 G6 -- Z_ 6 - c-f'y c-i‘ OWNER EMAIL: r-c-ict v)5 6)rwi rroc.7.cool I t CONTRACTOR NAME: Patriot Fire Protection. Inc. I 0 1d CONTRACTOR ADDRESS: STREET 271)7 70th Ave F `� CITY Tacoma STATE WA ZIP 98424 CONTRACTOR PHONE: 253-926-2290 CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): PAIR I FP09PC;F CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 024694 PRIMARY CONTACT: 0 OWNER ® CONTRACTOR 0 OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: 2E 3 — I`'Z g — .2.....2_90.2.....2_90J G-(Te� We ' CONTACT EMAIL: f c..r eel, h.c:9- 0�c-fir,Jal-f:'n-,c o w1 BUILDING PERMIT APPLICATION Existing Use of Building: 7cc « (i:39h1- ha..2c,,.c-d) Contract Price of Work: $��27g Proposed Use of Building: 644; cc (/:?.4 r h4Z�,,rd) Heat Source: ❑Gas IJElectric .❑Other Building Type: DSFR-Detached ❑SFR-Attached El Duplex ��❑Multi-Family-#off Units: 1E"J(Commercial ❑Industrial �� Type of Project: ❑New DAddition ❑Remodel ❑Repair IiT.I. ❑Sign FaSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: xl,, /,pe/, , e, ,pc.,H F1--r4-- -R2,4— r ,_.....--i/S & c ',I:7._g, 2 h e- S �f ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: =New = Addn LiAlteration =Repair Type of Project: =New UAddn DAlteration =Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C-Air Handling Units Heat Pump 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 Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Z Number 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 with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only -E d 1,-q C2c/2S ° PERMIT .O5 — 011/4., Owner/Authorized Agent Signature Date (Revised 5/20/2016)