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

• • moo.,....,�'�� PERMIT APPLICATION f-Q� `.:. BUILDING/MECHANICAL I PLUM ING /SIGN I SPRINKLER I DEMOLITION des '4�� J to a CITY OF EVERETT PERMIT SERVICES '' `is ' 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 tk9 sfrge cm Bloc Ink C)nlygq,Please) PROJECT SITE IGla ORli;d�ORATION frROJECT SITE ADDRESS:c?2 ! .J s Vr� ( 77 j; .q, PROPERTY TAX#:2oO lZ 'O It o i9..EGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) °1 / 26'�o CONTACT l6 FOREVIATIO OWNER NAME: /�/e---- C.. r s!i/�- TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET /2.03- /30 n .%' , Se-1 . �9 �2 p<e (, / CITY �l�tfl�Cr/ / STA E ZIP / 'jOWNER PHONE: 42r�/ G'/ OWNER EMAIL: „wo .am, 1CONTRACTOR NAME: 5e.4 6e /) / ,fA/T O77477O,i/ GG C ;CONTRACTOR a OR ADDRESS: STREET ( ( 75o T7 £ '' se je 4— 9y /p�� 1-....___�a STATE �+— ZIP! G 2-o cP i arr L�/�-7 I!ICONTRACTOR PHONE: 12S 57)/ -� �/ CONTRACTOR EMAIL: 5 D4 /yC.5�C i4✓ ., CC it 11CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 'PRIMARYCONTACT: III OWNER ®.CONTRACTOR fa OTHER(Please Specify) 4.'IN if Id4Dh 1 „ NAME: CONTACT PHONE: f -- 9'(.5' --2 -/ 2 •iL:�f�TA,.CT b e l VYt7l11 �C yG 1c- CONTACT EMAiL: C• ,� Czf. ffoT/%�/L, c o /Y Ii— BUILDING PERMIT APPLICATION Existing Use of Building: — Contract Price of Work:$ Proposed Use of Building: 122- -7 IVI T$ Heat Source: giGas ❑Electric ❑Other ;,Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex l Multi-Family-#of Units: {3 OCommercial ❑Industrial Type of Project: g.New DAddition ❑Remodel ❑Repair ❑T.I. ❑Sign OSprinkler ❑Demolition OChange of Use }}DESCRIPTION OF WORK: _ Gorr �v�dv G S( - / 4 V't.{ w 1J 6�v t /s6,"T 7 4esl6... , 11ASSOCIAT ED BUILDING PERMIT#(if applicable): �/ NIECIWAI©AL;PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project:A New _ Addn _Alteration _Repair Type of Project: pGNew _Addn _Alteration _Repair 4� #of #of #of Lisf of Fixtures #of List of Fixtures it Fixtures List of Fixtures Fixtures List of Fixtures Fixtures Fixtures 0 ,- NC-Air Handling Units Heat Pump 3 jToilet Backflow Preventer(Inside Bldg) Forced Air Systems . 4 Unit Heater 2,_Bathtub Urinal hGas Piping Boiler Lavatory(Wash Basin) Drinking Fountain '^ ( Water Heater Refrigeration - Shower Floor Drain I_ -. Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting _ + Dishwasher Roof Drains II Clothes Dryer Hookups Other: 4 Clothes Washer Medical Gas 1 IRange Hood _ Water Heater Other: it CJ'Exhaust Fan —!Sink(Service/Bar/Mop/etc.) Other: 1 SPA INgLER I SUPPRESSION SYSTEM` -- g _ 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.lam the owner,or lam authorized by the owner of this property to perform the work for which application is made, and!comply with the State Contractors Law 18.27 RCW and 296.200A WAG. City of Everett Official Use Only �� q ! /x PERMIT#� I�OfO/ //lip" `� �- ( ! / . Owner/Authorized Agent Signature /Da (Revised 9/23/2016) q4D