6727 EVERGREEN WAY BIG LOTS 2021-02-22

4IETT 0 PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (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 PROJECT SITE ADDRESS: 7 T1-e-tx_'9 - er) ti-Y{7 PROPERTY TAX#:(1),- CidCWOSTbaj LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: jam' TENANT NAME(If Commercial) CO (-C OWNER MAILING ADDRESS:ac'yTREET P( ( C'Q�' gt \rL1 CITY'v ��`C)I Se STATE LT) ZIP 370(p OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME j 1 n 7o 4-. ( (IQ_ CONTRACTOR ADDRESS;)I r) STREET E`� et fra e'J,-�C fa" CITY O 4 (\5 Tr) STATE 1, '�y.ZIP 91(91 CONTRACTOR PHONE:- (07I a( 7`T3 CONTRACTOR EMAIL: ( c)d 6`) - Si5n19 ye- c i - CONTRACTOR LICENSE#(REQUIRED): r5)40,P l' j f'n CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):05 I)-to 1 PRIMARY CONTACT: ❑OWNER IlyCONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (:)._ '-7 1 _ 1 3 (l3 CONTACT EMAIL: . 9,r A'1 - BUILDING PERMIT APPLICATION Existing Use of Building: ( Contract Price of Work: $ 1',j j (. . • ~ ) Proposed Use of Building: Re ;,, l Heat Source: ❑Gas (_7Electric DOther Building Type: DSFR-Detached DSFR-Attached ❑Duplex ❑Multi-Family-#of Units: commercial ❑Industrial Type of Project: ONew DAddition ❑Remodel El Repair ❑T.I. ,Sign ❑Sprinkler ❑Demolition DChange of Use DESCRIPTION OF WORK: 1 n.(a, . ; 5 c 1 (}v, 1 L. - 3 er n I 1 l4.--z5' ,ASSOCIATED BUILDING PERMIT#(if applicable): 9)111. U 1 -0 2.3 MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _Repair Type of Project: New _Addn _Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler _ Lavatory(Wash Basin) Drinking Fountain _ Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM I Chemical or Water I 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 PERMIT\g Owner/Authorized Agent Signature Date (Revised 9/23/2016)