7124 OLYMPIC DR 2021-06-10 - Laserfiche WebLink

I;,,,..,,1 PERMIT APPLICAT •iii ZAJIL( 0NAtECHANICAL / PLUMBING / SIGN . .SPRINKLER DEMOLITION ER T T CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits — (Blue or Black ink Only:Please) PROJECT S951 fE !Gi9Fr •7t3IVIATICKI PROJECT SITE ADDRESS: II 0 O t(�®r PROPERTY TAX#: : LEGAL for new construction: Short Plat/subdivision- Lot No. (attach copy of long legal description) CONTACT (INFe MATIIUC .OWNER NAME: )a.t'k7a CcvrpbeJ1 TENANT BUSINESS NAME(Commercial): -T 7 OWNER MAILING ADDRESS: STREET 7/ 01 J y"'i ,n(C_ Dr }'► CITY Verelt STATE /4/4 ZIP 90,03 OWNER PHONE: .2_0(9 8/ ,I 021 S i OWNER EMAIL: `Uct,e,r 1cS5 5 I 19 G)YVi I CONTRACTOR NAME: % (.j1.R �/� CONTRACTOR ADDRESS: S REET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: I,OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: e VDCLCc Ca/flip P)e-I I CONTACT PHONE: 206 el ieg.(,53 CONTACT EMAIL: Baa.ro e$S O3(el'ia t I. C.B,r' BUILDING:INFORMATION • . Existing Use of Building: S F 1*, Contract Price of Work:Or 666 Proposed Use of Building: S F 1 \ Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: GagFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPOTION OF WRK: Re4ttr>'1 ur,Pec 1 . e,nev--- a" Gip 7e7 iSh ( base"Kent: Cae o sir1(C I I vtir4.0.60et—r, Joo -S-, e m hlc n . rujnt'ir%9. 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 NC-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 Ventilatio 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) 4' Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems `--- Other: Medical Gas 1 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 :ERMIT# 4/, �� - 004,g-trA- C20-72ket0 02-01&-e2 0.020 , Owner/Authorized Agen Signature Date (Revised 4/15/2019) .,. „�i