8325 5TH AVE W 2021-02-26 - Laserfiche WebLink

4Err • PERMIT APPLICATION•-----------` BUILDING /MECHANICAL/ PLUMBING /SIGN SPRINKLE 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 (Blue or Black Ink Only Please) Vj2),,—PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 1-4-1 v.( L 1✓I 1 — t -U \t' 1 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: L`c1!5 �i/v j�� TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: fib -`830 -- OI 2(, OWNER EMAIL: CONTRACTOR NAME: A 12,ROW } j hC err)/ CONTRACTOR ADDRESS: STREET /Oq / t �pdk3fy' `.i✓�c CITY !_]�!!G�7SOv STATE (A,/ ZIP S'l C( CONTRACTOR PHONE: -/),r- 30 I CONTRACTOR EMAIL: acre`-' ci/b 4.79 f , (Pit / CONTRACTOR LICENSE#(REQUIRED): A J ROvJ Fp p-17 '}K CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):1tLw Z 3( PRIMARY CONTACT: 14 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 1-05. j ) - 0-1 _J 4SON OJk) CONTACT EMAIL: c't (6 Cil j .i,, , < BUILDING INFORMATION Li qA Existing Use of Building: Contract Price of Work: $ - u Li'5tIU. Proposed Use of Building: % G70,, S Heat Source: ❑Gas ,ZiElectric DOther BUILDING USE: ❑SFR ❑Townhouse ODuplex ❑ADU ❑Multi-Family-#Units: ❑Commercial DAccessory Structure Type of Project: , New DAddition El Remodel CI Repair ❑T.I. OSign ❑Sprinkler El Demolition ❑Change of Use DESCRIPTION OF WORK: Frt_ r r 5,dEri<<- ,Li 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 Count List of Fixtures A/C-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 Ventilator 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 Roof Drains Water Heater SPRINKLER/ SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System I 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.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 PER not Owner/Authorized,Aent Signature Date (Revised 10/10/2018) 'liz