8307 5TH AVE W 2021-02-25 - Laserfiche WebLink

• • PERMIT APPLICATION . BUILDING/MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION G . ` CITY OF EVERETT PERMIT SERVICES Y45eL �� iri" 3200 CEDAR STREET, EVERETT,WA 98201 07. tIA 425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits Witte.itte.b Mack Only Please) PROJECT SITE INFORMATION UPPOJECT SITE ADDRESS:, .c93 0 t Att . (A.9 "7 PROPERTY TAX#:ZpO,61 zcoot)z 7IO 11..EGAl_for new construction: Short Plat/subdivision Lot No. I (attach copy of long legal description) 1 / CONTACT I F'ORMATIOItI IL kfIfi4ER NAME: ,-//e! (,IG4-- 4- TENANT NAME(If Commercial): tiOWNER.MAILING ADDRESS: STREET /2.D5 /3 o f2 .4,-. Se. A 41 cITY V � / STATE � II- ZIP `d G 'O i 2Sr �/� -�� -/ `,OWNER PHONE: OWNER EMAIL: NAME:FCONFRACTOR 5e --7 G� ,D��Pte T � T7�l ev GtC Ila a � fir'' /+ � 0 I.CONTRAS 5 OR ADDRESS: STREET (24,5 / O cgr-, se de 4 /�_ i!r.._____n CITY C�i/2I /��- STATE �71"- ZIP?Cr£-c C �j !;CON TRACTOR PHONE: y2i�-5 / - �/ CONTRACTOR EMAIL: 5D // vMOS IC/1 /u L r C-0 Af liCON TRACTOR LICENSE#(REQUIRED): CITY'OF EVERETT BUSINESS LICENSE#(REQUIRED): fPFal.l,RY CONTACT: jit OWNER ®-CONTRACTOR jiI..OTHER(Please Specify) 4 ON of Gd0 0 6 i C CONTACT PHONE: ; � T NAME: 6 - �3s� -2 2 �V _ ' Nlt1! G � CONTACT EMAIL: /f C y9-� C'�f �fp//�//�j�, cz !7 9- `BUILDING.'PERMIT APPLICATIONS oExisting Use of Building: Contract Price of Work:$ ti ?Proposed Use of Building: 122- Ace-7 M I GTS Heat Source: 2Gas ❑Electric ❑Other pudding Type: DSFR-Detached ❑SFR-Attached ❑Duplex gMulti-Family-,#of Units: I S ❑Commercial El Industrial Type. of of Project: Wew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition OChange of Use Cm i ESCRIPT ON OF WORK: j �0 7 7U 'Ai J- 6 5 i;` ii 9 -�ZIIJ �v �/Art 7,� , -- - iiASSOCIAT ED BUILDING PERMIT#(if applicable): tf F fsao chamf1CAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION y,e of Project:A New _ Addn _Alteration _Repair Type of Project: p .New _Addn _Alteration _Repair 0 #of 1 #of #of I #of List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures i F=i itlt;s. ; il IA/C-Air Handling Units Heat Pump _ 5 jToilet Backflow Preventer(Inside Bldg) III_ Forced Air Systems Unit Heater 2_, Bathtub Urinal Gas Piping Boiler 3 Lavatory(Wash Basin) Drinking Fountain r Ipater Heater Refrigeration - 7'J Shower Floor Drain ^ -, Gas Fireplace - Wood Stove 1�'J Kitchen Sink&Disposal Grease Trap !j iGas Range Ducting _ L !Dishwasher Roof Drains II JjClothes Dryer Hookups Other: i Clothes Washer Medical Gas IL I;Range Hood _ ^ Water Heater Other: r. Exhaust Fan —!Sink(Service/Bar/Mop/etc.) Other: ! li 1 ! SPRINKLER KLER/SUPPRESSION SYSTEM Number of Heads ACKNOWLEDGEMENT:l 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 1 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# / -- , Cis -7DI —00 Owner/Authorized Agent Signature Da e (Revised 9/23/2016)