8315 5TH AVE W 2021-02-25 - Laserfiche WebLink

vP • PERMIT APPLICATI IO (' BUILD G l MECHANICAL/PLUMBING I SIGN I SPRINKLER I DEI1filOUTIO6`9 404,01 1 .....4100, 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 - QQlare or Block Inc Only Please) PROJECT SllT INFORMATION — -- _ — PROJECT SITE ADDRESS: 3/3 j if v (,„ �f J �j Ci� u Vl1 .- PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision 1 Lot No. (attach copy of long legal description) CItMTACT INFORMATION OWNER NAME: Cc/%5 k,/Vj 61 TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET CITY STATE LIP OWNER PHONE: (?..O6 — 30 -- 0)2L OWNER EMAIL: CONTRACTOR NAME: A "F,g ow 1d ne.. 'Pm/ v "b", CONTRACTOR ADDRESS: STREET i 09 t, No Mfg)i v''t e c- lit tit, ens T_ eel Sitr STATE (AM ZIP G/sci 7,(e CONTRACTOR PHONE: if 2 5-- 30/-q10 CONTRACTOR�) EMAIL: cV t`'O t J . d d e--4'3 W7`2.� l i C,0 vy` CONTRACTOR LICENSE#(REQUIRED): IA j IZO"kJ FP' -11 '}'/C CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):*-W 2 34) PRIMARY CONTACT: E OWNER ❑CONTRACTOR ❑OTHER(Please Specify) ` CONTACT NAME: CONTACT PHONE: LaS- 3 ai - 81 0-1 jA,SON € J19-`N CONTACT EMAIL: c't{'ft).-Jjd (G 64:.% `iv'14:r, r t;QJJIILDING INFO MATRON . T� Existing Use of Building: Contract Price of Work:$ c,/4 `'I i5D6 . Proposed Use of Building: /7W^h o,:,es Heat Source: ❑Gas ,Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: DCommercial DAccessory Structure Type of Project: , New ❑Addition ❑Remodel ❑Repair CIT.!. ['Sign ❑Sprinkler DDemolition ❑Change of Use DESCRIPTION OF WORK: ,75/4/i 7_-_,re. s•„ipf? s-5;L7'- j h 5 r .ergee ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures I Count List of Fixtures A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range I Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatio Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential)—Wood Stove _Interceptor-Sand/Oil Water Service(behind meter) — Forced Air Systems —Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log I_Roof Drains —Water Heater SPRINKLER/SUPPRESSION SYSTEM '_Sewage Ejector or Sump Pump Other: Water Suppression System Wate No.of Heads I ;Chemical Suppression System No.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 lam 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 ((2 C. _ C-----9----- --./- P)9 PERMIT / (0 !oo ' I Owner/AuthorizeenISignature Date (Revised 10/ /2018) . 1fZ