1901 MERRILL CREEK PKY HEARTHSTONE APTS 2020-12-31

PERMIT APPLICATION BUILDING/1.CHANICAL/ PLUMBING/SIGN /41.1NKLER/ DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WAS HINGTON (P)425-257-8810 I FAX425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits hie or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: lq 1 M. itt')I) Lr/Gt'..�I�.?K. aJsT' . PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: U.D h Inc., TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET )79 5 5 6,e,=1 1"6/" I)' 7 CITY 4 Li a s �v)L� STATE � ZIP go 1z'i OWNER PHONE(72,0 2 �j7 --a l�`'� 1,.0 OWNER EMAIL: )-}-e iA 5Tc.I c... Q 0 b , C_o,41r ! CONTRACTOR NAME: A-,iA keit P i , CONTRACTOR ADDRESS: STREET ) \ ),S L.�i l OS S� CITY j ) tL 'Sr- STATE .Az_ ZIP 85r 2 9S CONTRACTOR PHONE:65&6)—.2(02-— )O (5 CONTRACTOR EMAIL: (zc6ey-y- _ / ,'keplp) . Cec CONTRACTOR LICENSE#(REQUIRED):&— l j 9'7 } Li LA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): (`-lc(p PRIMARY CONTACT: ❑OWNER IXCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (1- C))5`3 — 773�jCj lG 6;`_ .. FecTc CONTACT EMAIL: U11I ke 0 ,4'n,4- WIIN✓>l,, Ct' BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$ ._3 500 Proposed Use of Building: Heat Source: OGas ❑Electric DOther BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project ❑New ❑Addition ❑Remodel ❑Repair CIT.!. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Rep -c-'e_ c.-P v c. w� '-- Prue. w 47i\ i � �i sQ Q, 1 I �" I I ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture F7xture 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) 4Z Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless ) Dishwasher I-I Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential), Commercial Ventilatior Floor Drain 64. Toilet ` Exhaust Hood(Type I) _ (Not Heat/AC system) i 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: 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 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 uthorized 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/comply with the Ste ontractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERck N7 k Oe Q Owner/Aut rized Agent Signature Date (Revised 10/10/22 18)