8305 5TH AVE W 2021-02-25 - Laserfiche WebLink

PErr-;, ',IT APPLICATI r UILDIOI MECHANICAL/ PLUME:INO /SIGN I SPRINKLER I DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 l(E)everetteps@everettwa.gov l www.everettwa.gov/permits (.floe®p Black luck OII Iy Please) P['OJI CT SITE It r MATIO,I *PROJECT SITE ADDRESS: n s 05 LA,/ PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT I NF t f'MATE(:•N OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY. STATE ZIP OWNER PHONE: OWNER EMAIL: . CONTRACTOR NAME: ;; ,R g v ; x -: /`e. Pf• +4 eZ,1-io.r CONTRACTOR ADDRESS: STREET '1'3 C.,C1 a'; 112L a'if dt/0 r`•'t, F41IX r� ; CITY .0 Peoi 2 a,}( STATE trl.)'IA ZIP 9 vdl (4, CONTRACTOR PHONE: CONTRACTOR EMAIL: .g CONTRACTOR LICENSE#(REQUIRED): /1 g/ (.;I:v,+t'" '3 7 p4: • CITY OF EVERETT BUSINESS LICENSE#(REQUI D),4110 PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: L ;?5 ,3e....4 -1 I°-1 ,,, —.11115E 40 C 4 b III CONTACT EMAIL: ( ( (-r�, ...,) ',cJ /L: q; i j rtc:)p /, -Q P BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ ti,T 70 Proposed Use of Building: Heat Source: OGas DElectric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial El Industrial Type of Project: ❑New ❑Addition DRemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: - - 7 F ASSOCIATED BUILDING PERMIT#(if applicable): C no 1- (A" 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 Foantain 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: --SPRINKLERASUPPRBSSION SYSTEM N Chemical 0/Water) I I 15 No.of Heads \ - ACKNOWLEDGEMENT.I have revievlued this application and confirm the information contained herein is true and correct.Work done pursuant to this permit must comply with ".4 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 On PERMIT \\ ly ‘SL\(6 � boo _ .._ _, , ,,-- -, ,, , .,.. ,:,,,,,, „ Owner/Authorized Agent Signature ,7 Date (Revised 9/23/2016)