5102 RUCKER AVE 2021-09-08 - Laserfiche WebLink

• 110 PERMIT APPLICATION 12 BUILDING/MECHANICAL/PLUMBING/SIGN /SPRINKLER/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:5102 Rucker Ave.Everett WA 98203 PROPERTY TAX#:00410200013300 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION / OWNER NAME: Paul Hed n TENANT BUSINESS NAME(Co ercial): OWNER MAILING ADDRESS: s EET5102 Rucker Ave. crry Everett ATE WA ZIP 98203 OWNER PHONE: OWNER EMAIL: / CONTRACTOR NAME:innovative Tou h CONTRACTOR ADDRESS: STREET350 broadway crry Everett \ STATE WA Z,P 98201 CONTRACTOR PHONE:4257604216 ! CONTRAc'tOR EMAIL:info@theinnovativetouch.com CONTRACTOR LICENSE#(REQUIRED):INNOVTL�I2OT /J CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 62756 PRIMARY CONTACT: ❑OWNER 0 CONTRACTO 0 OT/ER(Please Specify) CONTACT NAME: ,CONTACT PHONE:425-760-421 Kyle cook CONTACT EMAIL:Info@thei ativetouch. m /BUILDING INFORMATION Existing Use of Building:Garage / Price o rk:$2000 Proposed Use of Building:garage / Heat Source: 0 as ❑Electric DOtherfurnace BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Fami',-#Units: ❑Com ercial ❑✓Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑✓Repair ❑T.I. ❑Sig ❑S rinkler ED olition ❑Change of Use DESCRIPTION OF WORK: Take out bo rded up garage doors and install ne ga e s. /i ,, \ ,, / ha &tkOjeVAJ ASSOCIATED BUILDING PERMIT,t`�(if applicable): V \/,C MECHANICAL PERMIT APPLICATION PLUMBIN PERMIT APPLICATION `` Fixture Fature 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 Systeth(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatior 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/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System 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. / P2CityQof Everett Official Use Only \ —62-Co 0-Gr.,.___6 a-2A Fr'e)R 'T# �r/Authorized Agent Signature Date (Revised 10/10/2018) /