3732 24TH ST 2021-07-13 - Laserfiche WebLink

PERMIT APPLICATIO BUILDINt ECHANICAL! PLUMBING/SIGN RINKLER/ DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 J FAX 425-257-8857 J(E)everetteps@everettwa.gov J www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 3 132 2 5'177" 5.r PROPERTY TAX#: 42-nr 68-5�-�'/0/vfEvf, LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: /-. -41 e7//f?/ f CL Ze-p ter/; TENANT BUSINESS NAME(Commercial): ,V,14- OWNER MAILING ADDRESS: STREEr S9'�E' Lt'-r %� ' '✓mac%-��TE CITY STATE ZIP OWNER PHONE: `, 4.5- 5Z/- '7 OWNER EMAIL: V'e '.i'ch s:O, cd-'79 CONTRACTOR NAME: d`t��L/t' CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS UCENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER Cl CONTRACTOR MOTHER(Please Specify) 7' 7Y'''1.9 3.":/%9r..)YAK/.5/ CONTACT NAME: CONTACT PHONE: 7"r — `ID-- 7321 CONTACT EMAIL: /f/ c7�yA'7' � t/l{ 4 c t', GO.-77 BUILDING INFORMATION g u • -\Existing Use of Building: r6J0 Contract Price of Work. \ C‘SK� Proposed Use of Building: 7e e'f 6'SZ Heat Source: "'Gas ❑Electric Ot er BUILDING USE: "'SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: Commercial ❑Accessory Structure Type of Project: ❑New ®Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Zuz"0, L'1 �C.a «CG �� iC�� %Gt Z�r/7 5 s fre '�•o Gr ee-w, l "wee) 'd,rje.20 �� = 5 2- 4�5 fl(Ns ass X 12� 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) f Shower,Tub,or Combo Boiler - Gas Range - Clothes Washer - Sink-Commercial(3-comp,prep,floor) Clothes Dryer I Heat Pump&Ductless Dishwasher Z. Sink-Residential(kitchen,bath,bar) - Duct System(Remodel) - Refrigeration - Drinking Fountain Sink-Utility,laundry,mop / Exhaust Fans(Residential) _ Commercial Ventilatior - Floor Drain 7 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 r'/,ta No.of Heads Chemical Suppression System /n//I 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 (67 PERMIT,( R®q- Oc-`UU Owner/Authorized Agent Signature Date (Revised 10/10/20