2711 MAPLE ST 2021-09-28 - Laserfiche WebLink

PERMIT APPLICATI BUILDINN MECHANICAL/ PLUMBING / SIG PRINKLER / 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) r PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 211 1 Mstp(G 5_ #-4 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: LAwrPMe. S Do o(j'en TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 2 7 1 I M.'ple, . — 474. CITY tVOA:14— STATE (Ay I ZIP OWNER PHONE: 0{Z S-G 23-N1 Z27 OWNER EMAIL: CONTRACTOR NAME: (1rea4er cam' COAS G4-00 CONTRACTOR ADDRESS: STREET 10 9 200 E 2,veret oL6' DIr ,--ri L03 CITY ROW).L' STATE A- ZIP 160 I CONTRACTOR PHONE: LiZS-1(1 —.560 y q CONTRACTOR EMAIL:(0I"CeC.S''C��e ceotI cJ�le- I-i on.t. CONTRACTOR LICENSE#(REQUIRED): C7 REA,t-SC- et -1-AAa_ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER WpONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: ?.OG -qty.h -77G-0 CONTACT EMAIL: S Grp.(, p a jvt— r BUILDING INFORMATION Existing Use of Building: {irt.�(c rorwt(") Contract Price of Work: $ ✓0 K Proposed Use of Building: C %5IL 4t Heat Source: ❑Gas GaElectric DOther BUILDING USE: CISFR ❑Townhouse ❑Duplex ❑ADU ❑Multi Family-#Units: Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ( Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: 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 a Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop 2. 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/InserULog 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 PERMIT# ( Owner/Authorized Agent Signature Date (Revised 10/10/2018)