1913 HOYT AVE C D 2022-05-23 - Laserfiche WebLink

• 0 01Err PERMIT APPLICATION BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/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:19/ Atli- ,4VeiJI, _, C. i D PROPERTY TAX#: 37j)37F 760 LEGAL for new construction: Short Plat/subdivisJ)iv jj ,�,ia'...4._ 376 Lot No7±$ (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: i 7U� PSI 4C TENANT NAME(If Commercial): OWNER MAILING A RESS: smser / /O _, Dr/L'P /�,j,,� fir" CRY Atha') STATE W2 ZIP 11 OWNER PHONE: (360 Z G 3- o OWNER EMAIL: e(he/G.l'�j a, 9,44a i i , 06144,, CONTRACTOR NAME: / AYi ke &s t c _p s a C.L� J �/ CONTRACTOR ADDRESS:/ STREET I _�3 /(,O �{—(��„ J)`'/"e 3E CITY I/ STATE % i A ZIP `'al Z_ CONTRACTOR PHONE:NO V3 7 CONTRACTOR EMAIL: / ft� ,*-of ( Q / , (,3 CONTRACTOR LICENSE#(R CUIRED):� �A�� ILL CITY OF EVERETT BUSINESS LICENSE#(ROEQUIRED): g�G PRIMARY CONTACT: OWNER CIC NTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (36...) v 3 r 939 7 ,(riditW E lIl� CONTACT EMAIL:, h e n c R ,1 j e� . V4. BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ �75; gfa O Proposed Use of Building:fe.S/l. al,1 Heat Source: Dees lectric DOther Building Type: DSFR-Detached DSFR-Attached Igduplex DMulti-Family-#of Units: OCommercial ❑Industrial Type of Project: i eir DAddition ❑Remodel ❑Repair DT_I. DSign [Sprinkler ❑Demolition [Change of Use DESCRIPTION OF WORK- MeW dpIt-x cMstrvcb04 ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: ✓New— Addn Alteration Repair Type of Project: ew Addn _Alteration Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures NC-Air Handling Units Heat Pump (9 Toilet Backflow Preventer(Inside Bldg) Forced Air Systems ';# Unit lnit Heater Bathtub Urinal II Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain 2 Water Heater ,X� Refrigeration L/ Shower Floor Drain Gas Fireplace Wood Stove 2., Kitchen Sink&Disposal Grease Trap 2- Gas Range Ducting 2, Dishwasher Roof Drains 2 Clothes Dryer Hookups Other: 9_. Clothes Washer Medical Gas V- Range Hood Water Heater Other: t., Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER f SUPPRESSION SYSTEM 'Chemical orVVatej _4.Jo.,of Heads ACKNOWLEDGEMENT:I have reviewed this application a�c rm t 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.tam 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 ff‘Al . 05/17 PERMIT# _ , ' (Ir`Owner/Authorized Agent Si ature e (Revised 9/23/2016) `V, 'y/vy` -ant l - 0-2A 7 .