4800 DOGWOOD DR 2022-02-28 - Laserfiche WebLink

i• PERMIT APPLICATIOS LI BUILDING / MECHANICAL/ PLUMBING /SIGN / SPRINKLER/ DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 1 FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION %.,U 1w4 Lcv CI t>p {S oc) PROJECT SITE ADDRESS: 9 F G U a,G.Jc cr2) .✓'/;' PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: L/SpJ ✓ I.Q(_ ,.( -.Cr>ir,,30,-ri C/4/001c0ENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET y r oo 96) 6, c,../v a Qt: CITY 6.1-1/G'�t.t77 STATE 4-4. ZIP 8,2e 3 OWNER PHONE: L/ .5 2S L 2/ L L` OWNER EMAIL: t//-i✓.if 6, /h„?1, r—/ ,.—,, , ce,ti �1�� , ( I ' CONTRACTOR NAME: ^f A) I,t l 'vv `�I L),f(�,b\�a L-L- _.- CONTRACTOR ADDRESS: STREET ?)l4(�g -///��f 2✓� - )N� 2 CITY IV`�Ne j�/Tam STATE 1 � ZIP 1g 2� 7 CONTRACTOR PHONE: 206r LQ,(4 p -1 Lit.V2. `� CONTRACTOR EMAIL: l�✓Qy‘t. OWC,()te p Vcc)1L.Cyr) CONTRACTOR LICENSE#(REQUIRED): I V WA..$JJ C PBrl.o\ CaS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):-J ' PRIMARY CONTACT: Erb WNER 0 CONTRACTOR 0 OTHER(Please Specify) 11. (at)1J 1/1 IA 5 CONTACT NAME: CONTACT PHONE: '3 t-2' 3 2u ,' .2 3 PC /9)/ht'/L.:,-/ CONTACT EMAIL: /Me,06 /3//7r7_L._.,r F ryr9//; c,,.., BUILDING INFORMATION Existing Use of Building: C/ '/2c// Contract Price of Work:$ ��J C •i Proposed Use of Building: L'// c)/ Heat Source: 0-6-as ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: Otommercial ❑Accessory Structure Type of Project: ❑New 212dition EMemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ( _ ASSOCIATED BUILDING PERMIT#(if applicable): 13 I a 0-3-OLIO 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 'I Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration / Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatior Floor Drain 2 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 l comply with the State C tractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only P IT ^ ci 0OLI/la// Owne Authorized Agent Signature Date (Revised 4/15/2019)