2532 VIRGINIA AVE 2021-09-01 - Laserfiche WebLink

mom PERMIT APPLICATIONi 111 fit BUILDING ECHANICAL / 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: `v 5 3 V I r J i n I Ave _Ft,reft PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION / /_ I c�r\-st_ OWNER NAME: (7� ) t r P.e < AK r z ti A " pod.4 TENANT BUSINESS NAME(Commercial): .5272-''7 rc,a-,C)h OWNER MAILING ADDRESS: STREET _.„„.„5 a 11'� CITY - STATE ZIP OWNER PHONE: /� OWNER EMAIL: CONTRACTOR NAME: $ dtf Po r c'-t4 I h CONTRACTOR ADDRESS: L73)STREET )'t CITY / ��i I r/J�� STATE I/!/ a ZIP , ( / CONTRACTOR PHONE.j 4 e -2, ' ? / 'Y CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): S*'ilC R 1 JO 1 I 1/17 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 0-.7 PRIMARY CONTACT: 0 OWNER )CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME:C CONTACT PHONE: R. 3 s 4/ — / 1 l J h /2'vv y-, gyp,v CONTACT EMAIL: 4rt.IA t, r5 L' 06-,v,„„-z_c 0 A 4^., BUILDING INFORMATION C A ti c k_Existing Use of Building: r- Contract Price of Work:$ 3 t - 77 Proposed Use of Building: L A.-tA re IN. Heat Source: ❑Gas OtElectric ❑Other BUILDING USE: ❑SFR ❑Townhouse El Duplex DADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ONew ❑Addition El Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition OChange of Use DESCRIPTION OF WORK: (.'D't'$T cna✓ I — rn o—;Sff tI 5 .ee,4eLr2 ,P sr2 sN&ar(r/S . 'r ASSOCIATED BUILDING PERMIT#(if applicable): 6-ic<e&' S96 , .44'P4,f. k« ill.�.PG`AL '- ' $er'i a. 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 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 System(Remodel) _ Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilation 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 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# .._...—,€)-/A--- -------- / 2'1"-c-/?A ° -T) _1;,() --o01.-{ Owner/Authorized Agent Signature Date (Revised 4/15/2019) /2-