1901 MERRILL CREEK PKY HEARTHSTONE APTS 2020-12-31

PERMIT APPLICATIO BUILDINGOECHANICAL/ PLUMBING /SIGN MP RINKLER/ 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 (slue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 19'0 1 PI I) gt 1)g, all' . ' PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: U,)K Iv1Gsr TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET )795 5 _ (. .,i 1 / })c CITY 14\ i t4 s f�ylL1.-, STATE () ZIP gG 1Z9 OWNER PHONE:(?Z12) .23 V I;2.0 OWNER EMAIL: )4-&. t1STc„I- Q V biZ, , C-0041 CONTRACTOR NAME: Ah."A iIGA P I v , , CONTRACTOR ADDRESS: STREET ) \ , -Jos vrt oS cr CITY 6 j 16}Zi V STATE .Az, ZIP 8-5 2 9 5 CONTRACTOR PHONE:( &6'y-.22z- )O 15 CONTRACTOR EMAIL: Pri1 e Y Q Arm A" /p/4u . C <'s7 CONTRACTOR LICENSE#(REQUIRED):60 4^9 7G'-1 'I`"A CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): r`Lk 5 l0 PRIMARY CONTACT: ❑OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 6-18o)5 3 - 773 9 c„ • Fe ST CONTACT EMAIL: I s� � /401A- 4l tl✓ , `'✓\ BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$ ._3 56-1C) Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU Multi-Family-#Units: Commercial ❑Accessory Structure Type of Project ONew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Rep - c,Pvc_ w� — Pi � i � 1�i��i ( I � 1 ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fbrture List of Fixtures Fixture Fixture Fixture Count count List of Fixtures Count List of Fixtures Count List of Fixtures A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) „Z Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless ) Dishwasher LI Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential)_ Commercial Ventilatior Floor Drain ,j7 Toilet Exhaust Hood(Type I) (Not Heat/AC system) L 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 end 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.1 am the owner,or lam authorized by the owner of this property to perform the work for which application is made, and I comply with the Sta onfractors Law 18.27 ROW and 296.200A WAC. City of Everett Official Use Only k — (o --Lc't .-k-' kcl --- o ) A Owner/Aut rized Agent Signature Date (Revised 10/10/2018)