1713 BAILEY AVE 2021-09-22 - Laserfiche WebLink

PERMIT APPLICATIO ' MI BUILDINCSIECHANICAL / PLUMBING / SIGN RINKLER / 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: /7 1.3 eQ(fey ,i/ 99c63 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: /50 0 Mcke� TENANTE BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET QP�tt✓7/3 7�1f r /`ey 1/, 'A/ J CITY Fj 1 e foet / STATE V �) 71P F a:42 o3 OWNER PHONE: SO3 C{O3 0 CO Q ( OWNER EMAIL: MC key �(�y mi,i - 6.O-71 j CONTRACTOR NAME: Ka,r H? .Jc�(QS �L v) / 42Lpi Q /'ello ectea-fJ/ II C CONTRACTOR ADDRESS: STREET Pc, b,�Z( la7/41 / ��/ ycM� / CITY ' very STATE i�l� / ' LIP 742 06CONTRACTOR PHONE: Q& CONTRACTOR EMAIL: t'+ LIFT.. v . Cmy. (tea� y�8 a�1 � I� ,/ �e -�e / CONTRACTOR LICENSE#(REQUIRED): LPZ R4, g CITY OF EVERETT BUSINESS LICENSE#(R 97 94/ PRIMARY CONTACT: 0 OWNER / 'CONTRACTOR 0 OTHER(Please Specify) f, a�/G� CONTACT NAME: 5 ��jj�� CONTACT PHONE: %�p2` Y E. cP -K . DO las •.)O OL -In CONTACT EMAIL: ke'W P i e 62 .4 'YL- BUILDING INFORMATION c Existing Use of Building: L C e Contract Price of Work:$ t a 0/ 07Q Proposed Use of Building: Heat Source: ❑Gas ❑Electric DOther _ BUILDING USE: 2/6FR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: New ❑Addition gRemodel Repair ❑T.I. ❑Sign Sprinkler ❑Demolition OChange of Use DESCRIPTION OF WORK: h�emOV€ e d 1/ e 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) 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.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 ��/ - 4// 2?C242( PERMIT#j6 ��'�its • Owner/Authorized Agee..gnature Date (Revised 10/10/2018) yz