1901 MERRILL CREEK PKY HEARTHSTONE APTS 2020-12-31

BI•1112 PERMIT APPLICATION BUILDING IlliCHANICAL/ PLUMBING 1 SIGN !AIIINKLER/ DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 ((E)everetteps@everettwa.gov I www.everettwa.gov/permits lue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: NO` M.&r,!) (�ret4L?J, a,1f'`T"i D PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: U D 1Z„ i 0e„e. TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET j 795 5 4 C.ci Th/ I)r CITY 14\liel\4-c14j .5‘ Vim z_in STATE L..^�C.J ZIP rJO 1 Z9 OWNER PHONE:@ZO),„S -- 1,2.0 OWNER EMAIL: )+eci STc--, Q 0 h P., , C..r.).+► CONTRACTOR NAME: Ali A ket P 1 CONTRACTOR ADDRESS: STREET )gy 11 ,/,,,$ Nt 0S S1 CITY ! 6 .j y STATE A ZIP 8_5 2 95 CONTRACTOR PHONE:( )-22?L— 'g(5 CONTRACTOR EMAIL: Rri13e.$T e_ AviiA-kepiil . (c2 CONTRACTOR LICENSE#(REQUIRED):&- ii - C��j--) V CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): Gt(4 C 1, PRIMARY CONTACT: ❑OWNER IXCONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 6-180)..S 5 f —w 773_ 5� t l icAA A =e ST. CONTACT EMAIL: U"1 I (ry ,it"'' /r/' 4efI1 tpl✓v, `✓\ BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$ 3,5e- posed Use of Building: Heat Source: ❑Gas DElectric ❑Other BUILDING USE: OSFR Townhouse ❑Duplex F IADU 7iMulti-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New LiAddition ❑Remodel ❑Repairr OT.I. ❑Sign DSprinkler ❑Demolition DChange of Use DESCRIPTION OF WORK: �Ze�i�,e �� w=- ''' ph_ t.vi ��'e;c. Pi Pe-) I I 4- , 11 Ke.. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture 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 --4 Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless ) Dishwasher 1- Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilation Floor Drain ,j4. Toilet Exhaust Hood(Type I) (Not Heat/AC system) 1_ 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 I Water Heater SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System 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 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 i am authorized by the owner of this property to perform the work for which application is made, and 1 comply with the Ste,ontractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only , ' ' I.D.V l 4, --Act PE c1 ` O1 Owner/Aut;•rized Agent Signature Date (Revised 10/10/2018)