2617 W MARINE VIEW DR 2021-04-01

® PERMIT APPLICATION. 12 BUILDING4ECHANICAL I PLUMBING /SIGN I SPRINKLER/ DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (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: 2-6 r ( '7 \J itil c;i,,. `. i; L LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: .() a„', \-\\, c i Jc , TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET J +jl). y „dc L ) t./c 7 Ai CITY i, 1 STATE W ZIP 9 s I S1 OWNER PHONE: 2_0 C `I ( '1— (w 4 OWNER EMAIL:,.. 00v t .?i i/J ov: C 9 SSJJ"7 P 7 U-Cc,, CONTRACTOR NAME: i .;' CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: }-OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$ ! .:+ L% { ' Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE:,KISFR ❑Townhouse ❑Duplex DADU ❑Multi-Family-#Units: ❑Commercial DAccessory Structure Type of Project: ❑New DAddition ❑Remodel takepair DT.I. ❑Sign DSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WO K: (L ASSOCIATED BUILDING PERMIT#(if applicable): ?j L O r)('Q,.0 10 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) I Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless I Dishwasher , Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatior Floor Drain II 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 I Water Valves or Fixtures Gas Fireplace/InserULog Roof Drains I 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only (U4' PERM IT#/tj�, /�2 C...�� /` Owner/Authorized Agent Signature Date (Revised 4/15/2019)