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

w PERMIT APPLICATION dr`t�.,�e2 4; BUILDING / MECHANICAL I PLUMBING I SIGN I SPRINKLER I DEMOLITION kr"hY"p's,1+a 4 CITY OF EVERETT PERMIT SERVICES pL`` ' Ei-Opr 3200 CEDAR STREET,EVERETT,WA 98201 y 1 Ay my)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits 1E3kile oir SIattA Irak Cinly Please) PROJECT SITE I II=It l IttilATI OG I,i CT SITE r✓p6'i✓Vl. tL71s 7 PROPERTY TAX#: 760 ��R��CT ADDRESS: " , �� LEGAL GAL for new construction: Short Plat/subdivision _ Lot No.1Z (attach copy of long legal description) L _- CONTACT I FORNIAT'©N IIOWNER NAME: / TENANT NAME(If Commercial): 110INNER MAILING ADDRESS: STREET /2.0.� /30/' .c-P• S'e- A y� G� I! /^ CITY ��°V c-/ / STATE I� 'I ZIP /d�� liOWNER PHONE: 4-2 S�/^ l9 �9- -/ OWNER EMAIL: !CONTRA.CTOR NAME: 5e /-%(9 0,92/ f t( VT i 0 77 4170A/ GG C ICONS RA.0 6 OR ADDRESS: STREET (249,' /,50 17 cgr: Se 14 4-- : CITY (.__.7. STATE Wit— ZIP ?<r* CONTRACTOR PHONE: LJ2 f-5V/ -6. ' 9-/ CONTRACTOR EMAIL: 5 DA/ /1 CM G, CC II ,ICON'I RACTOR LICENSE 4(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): . 11P .IMARY CONTACT: IRI OWNER &CONTRACTOR ,.OTHER(Please Specify) 4t t/ of Iv'o D b rr^ aCONTACT PHONE: - VS' -2-7-/ 2 it,,�CONTACT NAME: 2�6 'i -#H&N- CONTACT EMAIL: ��/'G"� - C• A Cat ff�7r7' , co rr 1—- BUILDING PERMIT APPLICATION — I _ Existing Use of Building: Contract Price of Work:$ {{ffProposed Use of Building: 12 Z Al --7 y•A bri•Cr-s Heat Source: I2Gas ❑Electric ❑Other SBuiiding Type: ❑SFR-Detached ❑SFR-Attached ODuplex gMulti-Family-#of Units: 1 S ❑Commercial 0 Industrial ?Type of Project: taNew ❑Addition ❑Remodel DRepair ❑T.i. ❑Sign OSprinkler ODemolition ❑Change of Use liDE.SCRIPTION OF WORK: - li --...-773,1e4- 1 7L'A/ 6 5 C-',' - vt w IL) & O tom/4.-t:7 - Ae . IlASSOCIATED BUILDING PERMIT#(if applicable): gy 7/ L ,;aEcHAAIRcAL. PERMIT APPLICATION PLUMBING PERMIT APPLICATION 1 T ype of Project:✓4.New _ Addn _Alteration _Repair Type of Project: Q .New Addn _Alteration Repair i� i tic #of I #of List of Fixtures #of List of Fixtures List of Fixtures #of List of Fixtures l Fixtures Fixtures Fixtures i Fixtures i. A/C-Air Handling Units Heat Pump 3 {Toilet Backflow Preventer(Inside Bldg) Forced Air Systems 4 Unit Heater Bathtub Urinal li Gas Piping _ Boiler � Lavatory(Wash Basin) Drinking Fountain n_ iJWater Heater Refrigeration - Shower Floor Drain t� -. Gas Fireplace -- Wood Stove V Kitchen Sink&Disposal Grease Trap . . Gas Range Ducting - Dishwasher Roof Drains • I! ( ICiothes Dryer Hookups Other: 4 Clothes Washer Medical Gas 0 j )Range Hood - Water Heater Other: • r +Exhaust Fan -- Sink(Service/Bar/Mop/etc.) Other: ir I rs -G'GmELER:/SUPPRESSION SYSTEM j Number of Heads 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.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 v 7Ut.,1 f� PERMIT# ( ( O 9/23/2016 Owner/Authorized Agent Signature ( // /Date (Revised )