8615 7TH AVE SE 2021-02-26 - Laserfiche WebLink

PERMIT APPLICATIO 4 BUILDING MECHANICAL I PLUMBING I SIGN RINKLER I 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) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: . '(,-/ 7r1-i .Sr PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: g;,•,,wr, 141corre TENANT BUSINESS NAME(Commercial): : \^ \,Nikke, jek OWNER MAILING ADDRESS: STREET 511,I V 'rti atec 5� i CITY e e STATE (VP'r ZIP `itZe OWNER PHONE: /arc% 3b5-3 �Srs exi 1D17 OWNER EMAIL: {✓ nceaC 51 Jvl+}k' ivt b CONTRACTOR NAME: /X T CONTRACTOR ADDRESS: sTRT T CITY t tom STATE idt, -- ZIP eig, CONTRACTOR PHONE: 117v5" —74ii_tiJ(,© CONTRACTOR EMAIL: 114,, S— j ,vt..pf— CONTRACTOR LICENSE#(REQUIRED): j.-jL'-T LA 97L (.;J CITY OF EVERETT BUSINESS LICENSE#(REQUIR : 51A0 g(- PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: jv -. CONTACT PHONE: /11 — 795 0 CONTACT EMAIL: ;vt, g.? �� htieg,r- ti . BUILDING INFORMATION Existing Use of Building: Contract Price of Work: $ C'C-Z> Proposed Use of Building: 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.l. 7Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: 1vt*ct II I,iti:Vt v ,l+ 5',r 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 Ventilatior\ 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 I Roof Drains Water Heater SPRINKLER I SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System 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.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only �1/I.6 C P Rl�ITj/�O� ✓�� Owner/Authorized g Agent nature Date (Revised 10/10/2018)