4821 VIEW DR 2021-09-01 - Laserfiche WebLink

'-*".40/ • PERMIT APPLICATIONS 11.111 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 Pleas.) PROJECT'.SITE INFORMATION PROJECT SITE ADDRESS: 17V8d2( V/L 1,0 D r., gVC 1/4=77; W iQ PROPERTY TAX#: OD P O 5 7O6 06 /c LOO LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: \vL\S Kess(lvx 11, I,'/[IeOTENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREETP�LI gal t�I VI ti) ON t Lie CITY G e_,r STATE tkI 1 ZIF�5Q`p,3 OWNER PHONE: ��L 3gq 6,j 3 a OWNER EMAIL: h Es x\ LA 515 @ C (Y�C S+e CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ti3 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CI Dy L I e y - e_S S n er CONTACT PHONE: 4© f _ 3 3'' — to 53 CONTACT EMAIL: I 1 fl 14575 ® Cani cc t �-)- BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$ 49 ,OV � Proposed Use of Building: Heat Source: BGas ❑ lectric ❑Other BUILDING USE: OFR ❑Townhouse "'Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial "'Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel Cepair ❑T.I. ❑Sign LiSprinkler ❑Demolition "'Change of Use DESCRIPTION OF WORK: (� P�tpayr bry�.Do 4 `00`' (Y�C( 112 �O _ i 00A kr Tt-�lQ -A-row\ ckO 9 d d.�'C tn. J I ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL-PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures ount List of Fixtures Count List of Fixtures NC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Co Boiler Gas Ran.- Clothes Washer Sink-Comme•' -comp,prep,floor) Clothes Dryer H- mp&Ductless • -sher Sink - .ential(kitchen,bath,bar) .• stem(Remodel) -efrigeration Drinking •. • -Utility,laundry,mop Exhaus -esidential) Commercial Ventilatior Floor Drain Toilet Exhaust Hood( (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood .- II) Water Heater Interceptor-Grease Waste/Water Piping Repair ,(11 t Exhaust H. -esidential) tove Interceptor-Sand/Oil ater Service(behind meter) l✓ Force. Systems Other: Medical Gas - Valves or Fixtures G. ireplace/Insert/Log Roof Drain Water -_ - R11KLER/'SUPPRESSION:SYSTEM Sew-•e Ejector or Sump Pump Other: Wa• uppression System r• emical Suppression System I INNo.o.of 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 �1 n Q_ l h/107Dc'71 v PET I l —/sl 3 l I Owner/Author' d gen� ture f(Xj( D (Revised 10/10/2018) (/