5501 SOUND AVE 2021-04-01 - Laserfiche WebLink

mm � PERMIT APPLICATIO IA ii: BUILDING"', ECHANICAL/ PLUMBING / SIGN RINKLER/ 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: fj o / 5;62 fp A v P PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: lJ F a t'i Co v'-� TENANTA BUSINESS NAME(Commercial): 3 OWNER MAILING ADDRESS: STREET , 'D` S�C��-r,CF' /1,.' £V- ../,e-77- CITY 4 STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: .;2X-iK62-0I-ceejr 'S tke 1u' 81 4-C z 1, .._. CONTRACTOR ADDRESS: //T6rE9/ �/E 9-55 4�t /c ,t e�I)71.- kt. / /4 CITY t1 g<f(.`_5—+7'�/� STATE CONTRACTOR PHONE: r r s �? 3 ©i, CONTRACTOR EMAIL: C l'�'' !"i-G fZ/'S'1L.i� - J(f2 /z°4in Po CONTRACTOR LICENSE#(REQUIRED): A LE KA HA-0 Y OQ CITY OF EVERETT BUSINESS LICENSE#(RE IRED):24 �t 1 PRIMARY CONTACT: 0 OWNER eO TRACTOR 0 OTHER(Please Specify) �•�C CONTACT NAME: A., CONTACT PHONE: pr — a S — 3( ) ' CONTACT EMAIL: CQiade,"- Aga EZ , f,,,„4►2l�C •C", .. ,, BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$ y ,C--") Proposed Use of Buil .ng: Heat Source: ,teas 0Electric ❑Other BUILDING USE: FR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: CI New ❑Addition El Remodel ' epair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: _ " ' V/-art/y-c2pC r h s 4Ur lJLLeY LC,CZ" , / jc2--a t"7 h,f / 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 Alt, t/4 1-a r-e9. 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 applicatiorf)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 auth zed 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 Con actors Law 18., RCW and 296.200A WAC. ' City of Everett Official Use Only /// C., PERMIT_# . O Owner/Authorized Agent Signature / Date (Revised 4/15/2019) `