9009 W MALL DR GARAGES 2021-09-07

_ PERMIT APPLICATIO ILE BUILDING MECHANICAL/ PLUMBING / SIGN / PRINKLER I DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (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: 0 . t . " ''' , G A-fZ 44 6 S ;PROPERTY TAX#` ,t f D 5 \%a O o 1 '7 0 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: V.:—tp4 • 1Arrtaktaa alAi2kI Lp TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET c)0 tom(FTI #t/ "�` "( 14() () CITY " STATE \ ty ZIP ^ s\Q L OWNER PHONE: 2.04 -9% -rj 2 OWNER EMAIL: CONTRACTOR NAME: iSU `' CONTRACTOR ADDRESS: STREET ✓', (l//jUQ E $e V.O TrE 5 CITY ✓-dr:z r'rtJ :"r'./ STATE lb zir' Ts`J 47/ CONTRACTOR PHONE: rsr-16 ' - `"p CONTRACTOR EMAIL: a ;# 2) r CONTRACTOR LICENSE#(REQUIRED):.V1 P„t ?.‘ 1 '!:)1 6 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 5 2.3 PRIMARY CONTACT: 0 OWNER E CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: Z O _ _00 ‘? zoqp CONTACT EMAIL `,L , .tf.) BUILDING INFORMATION Existing Use of Building: , i 7-. > rnA t t„, Contract Price of Work:$ `'l 7 CS Proposed Use of Building: no t 7 / ._., .t`/,t/4, /'` _ Heat Source: ❑Gas lectric ❑Other ❑ [ BUILDING USE: ❑SFR ❑Townhouse Duplex ❑ADU 14ulti-Family-#Units: -` ) ❑Commercial DAccessory Structure Type of Project: New ❑Addition aemodel ❑Repair ❑T.I. ❑Sign OSprinkler ❑Demolition OChange of Use DESCRIPTION OF WORK: 1"s: ems) C LA)fa , 6 -,3 �0 1 ti �� '� °� `'", a 2. I I l I Q ASSOCIATED BUILDING PERMIT#(if applicable): N IA 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 Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilator 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) 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 I 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.lam 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 PERMIT n Lmo Lo I Ot2 . Owner/Authorized Age Signature Ddte (Revised 4/15/201$).