2401 FULTON ST 2021-07-13 - Laserfiche WebLink

i PERMIT APPLICATIO / 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: 7 17 O/ / /1-001✓ f PROPERTY TAX#: polito.,53.i liz Oe.2 ? el 4'(t, LEGAL for new construction: Short Plat/subdivision C4 gco,'ri vA, Lot No. ' (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Jt# R?r0...sei/ TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET //ICI/ /2iu/i.+/Ji7 CITY STATE 1441 ZIP OWNER PHONE: "92-3 —.J7G7- 7— C;;'E17(> OWNER EMAIL: ..Ji.isiefy/J3/ car ic.q.sT k1e't CONTRACTOR NAME: Zel}(e�4 // gef /✓Ci A/G_- CONTRACTOR ADDRESS: STREET 7..fel V- /O /' f s E-' CITY tt?//i - ,{ft u..1f STATE fey ZIP C/e l e CONTRACTOR PHONE: vzs _73'/ Eg13 I CONTRACTOR EMAIL: /4"44�s' tt/;//mot' roiy/e.70- CONTRACTOR LICENSE#(REQUIRED):f,Z1147//,/, "7,I< CITY OF EVERETT BUSINESS LICENSE#(REQUIR D):tY PRIMARY CONTACT: ❑OWNER Ii,CONTRACTOR 0 OTHER(Please Specify) - ( t) Q� ' O.6*-- CONTACT NAME: CONTACT PHONE: G~ /--(-� � Ø't44" . .EC-: fr- CONTACT EMAIL:/.I11 fkA---Yde%, ( C131/%4r„rt 7' "T BUILDING INFORMATION • Existing Use of Building: Contract Price of Work: $ 3 ,; 2 " `014 Proposed Use of Building: `r Heat Source: ❑Gas QEt"ectric ❑Other_ BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: INNew ❑Addition ❑Remodel ❑Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: 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 Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler J Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remo f) Refrigeration Drinking Fountaik . Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatior Floor Drain r 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. ,( 51tril(dafa City ooffEvvverett Official Use Only /1 . L jl 1 o'/9 PERMIT \ 2 ✓cos 1 Ow er/Authorized Agent Signature Date (Revised 10/10/2018) ,, y1