3412 NASSAU ST 2021-01-04 - Laserfiche WebLink

PERMIT APPLICATIO 1112 BUILDIN ECHANICAL I PLUMBING I SIGN RINKLER I DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 ( FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits ]/ PRO,JEC' 4 S,IITE�NFORMA'TIOif2. (Slpe,+DrsB�a�l�>Il�k..�� ...Plea�l�)..�:. .,..,R � � �>fr.._� ,. ...,;` .......s ,. •?....... .. .... ...... N PROJECT SITE ADDRESS: 3'/I Z. N �� 5'�,, [;'U�Ut: -.PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) - OI T...d >INFOR 1A.TIO*4 OWNER NAME: i<A1i2A., rJ'c:,‘Qim TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET `3I1 z Nei s5 \) & . CITY L Vcre WI't STATE �6 ZIP i!3 91 OWNER PHONE: OWNER EMAIL: ! CONTRACTOR NAME: C0L p\ two tiCi CONTRACTOR ADDRESS: STREET (75 16 IS1 Jfi^,z_4 /VC CITY )✓12:Ai0 i-44 STATE U3/Sc-- ZIP [ is FF0 CONTRACTOR PHONE: 975 Z,y3 7--7 3 Z CONTRACTOR EMAIL: C cQi E fjA � Z) .c t`.� wt CONTRACTOR LICENSE#(REQUIRED): .L)LjL LSSMit Ali-, CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 5 727 PRIMARY CONTACT: giZTNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: Yzs 3q 3 /5 -3Z ec c b. Lkuriertc CONTACT EMAIL: e AI rt . _ J` 6 / iRIs0R 10N Existing Use of Building: Contract Price of Work:$ WOO '630 Proposed Use of Building: Heat Source:• ❑Gas ❑Electric ❑Other BUILDING USE: EFR ❑Townhouse ❑Duplex DADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition BRemodel CI Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: 14,,..,.5.� r r e r-t5 Q.r(= (Fe- uo4. ,{5 tht t'c.teD , fte.-0 ! i yc c-ceS /3 ( ‹ l- k(f i f f usgC( 4.c.A pox, 2 i-105t. ,:3; 5 i 4-ut-' ASSOCIATED BUILDING PERMIT#(if applicable): " 344k1 t 071-. 4....,,MECHANICAL.PERM TAPPLICATION,,. a ,, PL U BING PERM IT APP ICI TIOIN . Fixture Fixture Fixture Fixture Count List of Fixtures Count • List of Fixtures Count List of Fixtures Count List of Fixtures NC-Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) t Shower,Tub,or6mbj Boiler Gas Range ( Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher j Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilation Floor Drain I Toilet Exhaust Hood(Type I) (Not Heat/AC system) 2 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/InserULog Roof Drains 1 Water Heater „SPRIINK ER i S.UPPRESSION 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.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 f PERMIT# `� 1115��Iq ?f lZ_ Do� Owner/ horized A nt Signature ate (Revised 4/15/2019)