504 51ST ST SW 2020-08-28 - Laserfiche WebLink

II 'I PERMIT APPLICATIO• J ) fdi BUILDIN ECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION E V E R E T TCITY 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 www.everettwa.gov/permits (Blue,olr:Black ink Only,Please PROJEC1 SITE INFoRMATI01*a.;.. .. `..... .. ..... . , .. .. : . . ifSM, . .:: PROJECT SITE ADDRESS: '50L{ 'I S 5T S )CVclut. I I82.03 PROPERTY TAX#: 'Z.'t(7'-1 3(P Wt-1Q? 100 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) OWNER NAME: C IflfA21CS TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET j Ot.( `j i A CITY L„ 5Qdw�1 STATE W ZIP °ISzo7 OWNER PHONE: L..... O\u OWNER EMAIL:T._ CONTRACTOR NAME: C114/ Fyr itzle , • 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) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: B»r:ulN�IN �QRIA., r 'tIQN Existing Use of Building: no} ClirMLAl Contract Price of Work:$ 'T5 0 Proposed Use of Building: V a eAki7 Heat Source: 11Gas 0 Electric ❑Other BUILDING USE: PFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition IISChange of Use DESCRIPTION OF WORK: \IGT" 45 CONAVerzsiaN. u Site QM Milt 19 I°rnb'n, C:or►rvis 'J— ASSOCIATED BUILDING PERMIT#(if applicable): Al‘ M /V 546 nitui- i.,-liii.mlliECHANItrAk1POitssiTAPEOdATION.ili& PLLIINIBiN PERMItT APjPLI ATION FixtureFixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures NC-Air Handling Units (I) 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:pro 5.c,44(.., Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log / I;�c Roof Drains Water Heater ,, SPRINKLER,I,S PPRESSION 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.lam the owner,or I am authorized by the owner of this property to perform the work for which application is made, and I comply wi the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# /tl doe V14�oaa 2I5 ' 'er/Authorized Agent Signature Date (Revised 4/15/2019)