8309 5TH AVE W 2021-02-25 - Laserfiche WebLink

PERMIT APPLDCATIO BUILDIN MECHANICAL/ PLUMtzINO /SIGN RINKLER/ 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 (Bkie or Mack cck link OuvOy Pease) PmOJEC u' SIITI! IMFOII GVIA u'OOONI PROJECT SITE ADDRESS: e3f�9 ,:} it ,.. I ,, PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) COfil1TACClT IIMFOROtfl lF[10M OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CM' STATE ZIP OWNER PHONE: OWNER EMAIL: • CONTRACTOR NAME: j)) i i- • CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: .4'CONTRACTOR LICENSE#(REQUIRED): fJ - 7 f� "t CITY OF EVERETT BUSINESS LICENSE#(RED):O-1 t I PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: '') i ,f�, - r,i (_ , CONTACT EMAIL: .1 i r ItU)LIMMO PEOS511)tTi APPLICATOOIM Existing Use of Building: Contract Price of Work:$ u - '-- Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New DAddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ASSOCIATED BUILDING PERMIT#(if applicable): ei\ I(�\ 'U , !� - IlfIECCll-'JA8 lCCCAL PERMIT APPL CATOOR\9 f�LLUI1illEHIG PERMIT APPUCATf)O(,`i Type of Project: New Addn Alteration Repair Type of Project: New Addn _Alteration Repair #of List of Fixtures #°f 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 I Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace I Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range I Ducting _Dishwasher Roof Drains Clothes Dryer Hookups I Other: I Clothes Washer I Medical Gas Range Hood I _ Water Heater Other: Exhaust Fan I Sink(Service/Bar/Mop/etc.) Other: I SPR.OIM CLER/SUPPRESSOOIM SYSTEM Chemical or Water Y . No. of Heads i 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.lam 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 1‘ vd, \ oc8 Owner/Authorized Agent Signature Date (Revised 9/23/2016) ( \I .\