1901 MERRILL CREEK PKY HEARTHSTONE APTS 2020-12-29

Li ill PERMIT APPLICATK#I BUILDIM MECHANICAL/PLUMBING/SIGI""ICPRINKLER I DEMOLITION EVERETTCITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov l www.everettwa.govlpermits (Blue or Black Ink Only Ply) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 1q0 Kwell ) ri 1)4 a.�T' t 'PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: U,)P ie4Gir TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREEr )79 5 5 h �4` 76,,' p Cm kat,e4 s j:.&.614.1•1 STATE ZIP go OWNER PHONE: t72.6),, 23 -- r,2.0 OWNER EMAIL: n'ect_Ati STM 4., Q V b R. , 6-J01 CONTRACTOR NAME: / -Y' A keit P I en, CONTRACTOR ADDRESS: STREET gg % A95 A"�tsi►t 0..5 S'� CITY d.�/ 1,Q./y STATE i' ZIP &S 95 CONTRACTOR PHONE:( -2czz— )€15 CONTRACTOR EMAIL: Rae..,-v- ( AwnA'£ P(p/', c.c.,...,. �c.c.,...,CONTRACTOR LICENSE#(REQUIRED):!`GQ j"'y‘76,‘76,-i t CITY OF EVERETT BUSINESS LICENSE 1i(REQUIRED): PRIMARY CONTACT: ❑OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT/� NAME: CONTACT PHONE: (480)513 _ 7,3 b5� I 1 t ci et&_.,2A Fe_CF CONTACT EMAIL: L 0 r'` ,4.1Ced/A✓tek. Cc,„,-,,N BUILDING INFORMATION hh Existing Use of Building: Contract Price of Work:$_____4‘2242.________ ‘2242 Proposed Use of Building: Heat Source: OGas CDElectric ❑Other BUILDING USE: OSFR ❑Townhouse ODuplex ❑ADUMulti-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project ❑New DAddition DRemodel ❑Repai DTA. DSign OSprinkler DDemolition DChange of Use DESCRIPTION OF WORK: Repkc.e c/PvG.. w '' Pipe, „„;-rt,, pe, PiP-t) i I ke- . . 1 1 ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION FbnureF/xture Fixture Fixture Count List of Fixtures count List of Fixtures Count List of Fixtures Count List of Fixtures A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) 3..( Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Xi Dishwasher s` Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatior Floor Drain „34 Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease WasteiWater 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 I 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,state,and local law.The granting of a permit only authorizes approved work end no deviations therefrom.Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance.lam the owner,or!am authorized by the owner of this property to perform the work for which application is made, and I comply with the = -�-actors Law 18.27 RCW and 296.200A WAC. 17, Tile Tilt Official Use Only � PERMIT#c -/C)n a Owner/Aut orized •%r t Signature Date (Revised 10/10/2018)