6001 MCDOUGALL AVE 2021-04-01 - Laserfiche WebLink

PERMIT APPLICATION • BUILDING / MECHANICAL / PLUMBING 1 SIGN 1 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: 6DO/ f1467 oU -,4L l/t PROPERTY TAX#: Zgec 95 JO 203 cock LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: /fryl Y11-RTL E1/ TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 4(/o/ mcpO G/t-AG Ave CITY E E-1 STATE 144,4 ZIP 9/'Z,0 3 OWNER PHONE: ?Z� 9Z e33t OWNER EMAIL: r 0,faro re on ez.f 1. Gp0-1 CONTRACTOR NAME: ,F4-1-04-n/C >C CSN,S re-44�f`/01�( /N C CONTRACTOR ADDRESS: STREET 6 76 Z 3z Au) r4 cie au£ CITY /Q FG 4G5i p4/e,< STATE 4/4 ZIPTQ/55 CONTRACTOR PHONE: ze56 , yd/&J• 7?9,7 CONTRACTOR EMAIL: 61 kfier1c, 1 v`e �, Alai 7. Gory, CONTRACTOR LICENSE#(REQUIRED): $,41...A lc/2Qg3O S CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): Ds39S' PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) p� CONTACT NAME: CONTACT PHONE: 3/p - Y�36• /CS 9v MAR IS' /)--G1$?fRS1'S CONTACT EMAIL: yylgr.%S V h�G in r �• p YY/ BUILDING INFORMATION ,J Existing Use of Building: J�//V/C if/Ly ,5/41.E4kE Contract Price of Work:$ q3o Proposed Use of Building: /r Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE:PISFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New Oddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: • APD/JTohr ot= W cl iiP 61P s/e/GeE. FA/e is i PA/6 cinl( 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 Roof Drains Water Heater SPRINKLER/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 PERMI j� 1/121)/( ---N-. 2 . 2 D. 2-0 �" Z Owner/Authorized Agent Signature Date (Revised 10/10/2018) / /