8317 5TH AVE W 2021-02-25 - Laserfiche WebLink

• PEI MITI APPLICATION. BUILDING I MECHANICAL/ PLUM%RIG I SIGN I SPRINKLE I DEMOLITION CITY OF EVERETT PERMIT SERVICES rr 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 I(l331nce ow[ Iacck Ink O&Iy Please) rn-1 PR OJECT SITE INFORMATI«J19 PROJECT SITE ADDRESS: . 3 b ) v-e_ C.,i- Yet (�J 0-V Iv i 1- I 1 IROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) l (CONTACT INFORMATION OWNER NAME: Ec/is / /vj r1 TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: 9..06 -(6,30 - O12-L (OWNER EMAIL: CONTRACTOR NAME: A.F.,g ow !, Fro it-ec '2 CONTRACTOR ADDRESS: STREET `'� cf `7t0tid11-(3),n AC-y 0,t _ 3 CITY d_-J/ea s /�c'c`; STATE A)4 ZIP 9Co'q_ CONTRACTOR PHONE: cf 25- 3 c,/-.q 1C i CONTRACTOR EMAIL: 4'LF re'c;," . d/6, co-ci ya iei 1 s C[vv2".. yy CONTRACTOR LICENSE#(REQUIRED): A g 120,0 FP q Li/ plc CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):1*(6tj 2 34, iPRIMARY CONTACT: 1ROWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: :-r CONTACT PHONE: r-/�2S- 3 DI - 8'1 D -1 _J . oA) (�)-) CONTACT EMAIL: of c to,.J Jd ((, col 1v147, (c.,„, BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$ r- G�r, Proposed Use of Building: 7 vw^4 c,:,es Heat Source: OGas ,(Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: , ]New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Kr75f // i'1'O� 5-,,ippr,5f•12`-. j v. �ec,*-tie '- . ASSOCIATED BUILDING PERMIT#(if applicable): , MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture j Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures NC-Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range 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 i Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease I Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil I Water Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System i No.of Heads Chemical Suppression System [- No.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.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# \4\.q t), - 60c,, ... "42 c_____)___ Owner/Authorized en(Signature Date (Revised 10/10/2018) '/)