6000 23RD DR W TEAGUE 2021-02-23

OLT PERMIT APPLICATION• BUILDING / ECHANICAL / PLUMBING / SIGN / SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:6000 23' Dr L PROPERTY TAX#:20 40200 301 SGO LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) ,� CONTACT INFORMATION OWNER NAME:/Viciio1 c' /1444' u -t- reciu.w(oey TENANT NAME(If Commercial):jeaeJ.t•e. Oren /IYte{�' OWNER MAILING ADDRESS: STREET COO 23r' Dr IA/ �j'^ CITY Evere STATE k.A.4 F ZIP c 6 2V 3 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Patriot Fire Protection, Inc. CONTRACTOR ADDRESS: STREET 2707 70th Ave F CITY Tacoma STATE WA ZIP 98424 CONTRACTOR PHONE: 253-926-2290 CONTRACTOR EMAIL:c L' '1.C.A✓'(sfensong/2abe-ra/-"Frr&•COW( CONTRACTOR LICENSE#(REQUIRED): PATRIFPOPPCF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 024694 PRIMARY CONTACT: D OWNER ® CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 2 b'3 -q 26.-2 260 SOvt CONTACT EMAIL:dctv;vt.C- 'i 5-*eh tout®a,Ocai-r'i of fire.Ccv7 BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: $ ` ,, _ Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: DSFR-Detached ❑SFR-Attached ❑Duplex DMulti-Family-#of Units: DCommercial ❑Industrial Type of Project: ❑New DAddition DRemodel DRepair ❑T.I. ❑Sign DSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: St14%, ". LAS&) ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION l Type of Project: New Addn XAlteration 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 NC—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: SP KLER/S PPRESSION SYSTEM 5 I N ber of Heads ACKNOW EDGEMENT:I ve reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with current fed al,state, 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 Offic re 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 vi /' ' PERMIT+#� wner/Authorized Agent Signature Date (Revised 5/20/2016)