2807 PACIFIC AVE 2021-04-01 - Laserfiche WebLink

• PERMIT APPLICATIO• BUILDING / MECHANICAL/ PLUMBING /SIGN /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: Zti Yi `.�,, A-NJ.r PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: „-k- ,.x,_'. , -rt^ TENANT BUSINESS NAME(Commercial): gj,:„.A,r c:rtrfc-EA, OWNER MAILING ADDRESS: STREET ?SSW Yr.r., c;G Je:._, CITY "V STATE V ZIP cSZO OWNER PHONE: • OWNER EMAIL: CONTRACTOR NAME: .A e AA ,(to ,sk ( ( I CONTRACTOR ADDRESS: STREET ZZ;� Li1�U.q t 5- L-5 CITY L %) � S � ,/]� STATE I J A ZIP gS`S CONTRACTOR PHONE: L.(ZS -- 3(.4- 3 d(Lf CONTRACTOR EMAIL: 6,1,N�.5 C),(\a,t. t. nl wx.eik C- (,, 'VA),. S- CONTRACTOR LICENSE#(REQUIRED): ) (r, fjCO€j 6 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): '(�'Z,i Sp—I PRIMARY CONTACT: ❑OWNER ET:eONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: /' 1_ r i S \/A �(,�� CONTACT PHONE: 41 . 3L � .. 3--I•'I 4Ci \ C "`v"�% CONTACT EMAIL: (:_Vvr',Ss ?c},Ar7 c tnG BUILDING INFORMATION Existing Use of Building: HcrFe, Contract Price of Work:$ 4L.'I Z' cam:) Proposed Use of Building: 14-0+-L I Heat Source: ❑Gas 12rE ectric ❑Other_ BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: Commercial ❑Accessory Structure Type of Project: LJIJew ❑Addition ❑Remodel ❑Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: .-T,IA.5ak.\ t g G,�c t r�C. ASSOCIATED BUILDING PERMIT#(if applicable): N I 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 Ventilation 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 PERMIT# Owner/A nzefl Agent Signature Date (Revised 10/10/2018) /Z�