3726 GRAND AVE 2020-08-27 - Laserfiche WebLink

PERMIT APPLICATION BUILDING/MECHANICAL/PLUMBING/SIGN /SPRINKLER/DEMOLITION ' CITY OF EVERETT PERMIT SERVICES 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:37ZG Ido Alt's, e{r' / -; bV#? WWI PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No./2 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:/f/I/44*m V01 ca/1..-MA4. /gyl S'NANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 72.-fl 57" IW& W� i / - _--- ---------- CITY tpRgy5Y !�/ L STATE ZIP /027/ moi2 7/ OWNER PHONE: 36p S7Z 0281 OWNER EMAIL:,�7 1)�3)y4.,y �}//g�p . G 'r71 CONTRACTOR NAME: ppt/A/4-A CONTRACTOR ADDRESS: STREET ( %? s 44001/40> CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 2 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING INFORMATION Existing Use of Building: 5/4/,4 fil/nI L y 41505"/ArAie-LS Contract Price of Work:$ Proposed Use of Building: 5Ffts, Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: 112'S-FR ❑Townhouse ❑Duplex DADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: CI New ❑Addition Cfemodel• ❑Repair ❑T.I. CI Sign CI Sprinkler ❑Demolition CI Change of Use DESCRIPTION OF WORK: Avs'v1,tj.70 2ay/A..4 /Q®d/yl/ AC#��(Tt/ *0,, 0R-771go,004 501/I4 PL icF 7-77 $/411(157-0.14T, Dish k/il$1/rit,GOv vJ 7t7r e,4 /b C,17 /v�73, tL,3C.t 007774 7406 7� � / rw?, 5fiuK Rr✓� CR-4,0A1,7-r-7* J9R771r 7 � 190,,v7- //�fT!$Ly /VfTr✓r(O,0,,,v jlopmcor- 13471412o0nn ✓1 LiV/N4 Rebr' iIgyvb k�'"�/t".>= ( ff LR�dr 4i-S 411AfDOws 4,47 P' l-5 ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION ; PLUMBING PERMIT APPLICATION FixtureFixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures ,V/4 A/C—Air Handling Units /✓f4 Gas Piping Backflow Preventer(Inside Bldg) / Shower,Tub,or Combo /19A Boiler ��cc/4 Gas Range / Clothes Washer Sink-Commercial(3-comp,prep,floor) / Clothes Dryer /1/41- Heat Pump&Ductless / Dishwasher .. Sink-Residential(kitchen,bath,bar) N;,4 Duct System(Remodel) t I Drinking Fountain Sink-Utility,laundry,mop / Exhaust Fans(Residential) A// Commercial Ventilation Floor Drain / Toilet ill A Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal /4 Exhaust Hood(Type II) / Water Heater Interceptor-Grease Waste/Water Piping Repair / Exhaust Hood(Residential) /V//f Wood Stove Interceptor-Sand/Oil Water Service(behind meter) /✓ A Forced Air Systems Other: Medical Gas Water Valves or Fixtures /4 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: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 PERMIT Zi146(447,1 ' ./t/iP49*r- O g 02: \ Owner/Authorized Agent Signature Date (Revised 10/10/2018) / t' II Z