1601 FLORIDA DR 2020-12-21 - Laserfiche WebLink

= 10 PERMIT APPLICATIC� BUILDING I MECHANICAL I PLUMBING /SIGN /SPRINKLER I DEMOLITION EVERETT CITY 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 I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION / r� , PROPERTY TAX#: C C l C-j CCU PROJECT SITE ADDRESS: �C / ��`�/� �,� �'� �(r��f� l O �C i/ LEGAL for new construction: Short Plat/subdivision .j.S/ 7-00 j Lot No. LJ (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:_EL)57`1j M C.0 3 70(Li('O/L'.S7 pi( C. TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET O C)• ,/49 n' /,A L/ CCC'''��// /L b Y517/Z/ f CITY / tom(._,, f. STATE /��j 2 70 ZIP OWNER PHONE: !y) S-- a 76 6 / OWNER EMAIL: gt,�,7-i /Z.�(c);70/`(/�•u�s/Ado--/Cv-tl t (>��l/l�/<<r�` CONTRACTOR NAME: l_SC)ST/7/Z(J (U 16>/-1 ..)/v-S//c"C /JI)/i CONTRACTOR ADDRESS: STREET /. 0 . 8(yr /i)l/7_s (� /0 /144 �yJi/21i CITY 7 L.-C 2 STATE /(/) ZIP CONTRACTOR PHONE: L()..3-- C'nn/ii " 6 S5/ CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): /�C'5 r79- (( `).. (->C CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):S 3 j3. PRIMARY CONTACT: 0 OWNER f•CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: //, S-- CC; 7 - ,S7c/ P/9Vi_ CONTACT EMAIL: BUILDING INFORMATION ,Existing Use of Building: /1/6),' 9 Contract Price of Work:$ 7,C) ( G CO Proposed Use of Building: 5 /- /K Heat Source: 0-Gas 0 Electric ❑Other BUILDING USE: KSFR ❑Townhouse El Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ZNew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: c L,/tj l✓2L C /1, L`' //t/6/ /—' /t'4 / `2 CS/Of Cc_ . 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 j A/C—Air Handling Units 5 Gas Piping ) Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler ) Gas Range / Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Q Heat Pump&Ductless I Dishwasher ►' ',/,,, Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatior Floor Drain 3 Toilet Exhaust Hood(Type I) (Not Heat/AC system) ?.., Hose Bibb Urinal Exhaust Hood(Type II) I Water Heater Interceptor-Grease Waste/Water Piping Repair / Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil / Water Service(behind meter) 9 I,'si ( Forced Air Systems Other: Medical Gas Water Valves or Fixtures V! Ai i Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump ' ) Other: L.)457 i 7 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 6_ PERMIT# /7_,, ,.., ,,, .._ ok2 _di Owner/Authorized Agent Signature Date (Revised 4/15/2019) /-7 1(--7