700 EDWARDS AVE 2022-04-14 - Laserfiche WebLink

PERMIT APPLICATIO BUILDIN ECHANICAL/ 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:_ - Gvrc ETti `�`�'A Ai PROPERTY TAX#: 2C101 � 0 Ica) S?_-©1 LEGAL for new construction: Short Plat/subdivi '(,,,si 1 00 eetWards Lot No. (attach copy of long legal description) \_14) CONTACT INFORMATION OWNER NAME: i✓1T/ OF LA/EVrE r TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 32() C_FDi 2 J-t-[Lp-e-r. CITY Ck/C�C 1 '1 l STATE Vdat 7��ZIP e 1 OWNER PHONE: C ) ' - 72A 14 '"` OWNER EMAIL: 4 lay r3 ,,e,Ve_reAt tack.die,V CONTRACTOR NAME: `-EJ 7 ' LE 60 kik.kU ..1) C�"�o[�6 1 CONTRACTOR ADDRESS: STREET t 02. tjI<PC/451. E /�1/t�1.L 0 G` /� CITY G I(j i i'`A Bn R. STATE \j / ZIP CIS. J CONTRACTOR PHONE:V5 2,) -521 - 2,2.-( CONTRACTOR EMAIL: jjj�� L7 CONTRACTOR LICENSE#(REQUIRED): `EC. ptc,— _ls21 LL CITY OF EVERETT BUSINESS LICENSE;(REQUIRED): al 2_,Caco r PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR iiitiTHER(Please Specify) .EST- CONTACT NAME: .EV.\c, 51, 1 K.y CONTACT PHONE: ( 4") - Co i f'4(077 RT4 14e) i'VG"3T c�k►E� C,1 t d. CONTACT EMAIL: feria • ll\• 5IckeNkL4 e 6,M.(00(. C.Q.IN44 BUILDING INFORMATION Existing Use of Building: etl o,t otuij i cATtot_4'6 Contract Price of Work:$ . '5 4 pop . Proposed Use of Building: iV p Heat Source: ❑Gas Electric OOther BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: SICommercial ❑Accessory Structure Type of Project: ❑New ❑Addition Aemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: -1- A•Qv mut t, of T*Raze. y((A\ �A1.t E�lJ,ems 1a r tt-IE 3a�'-O,1 c yGt wcg,, city V.,uUt EizA-N\LL Pi4.4 r> TWO t)tc. Cs►.15.%4.tEtS 1►.i151rti.E1) II-1 Ats EQU 19 ti,.tr-1.T ASs iCT1t,TEltutLDMG PEaT# E plicca6 e;?fi CC°"413141 L, kr'6*46 5 Kam,LTER S MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture List of Fixtures Fixture Court count' List of Fixtures Count List of Fixtures List of Fixtures Count 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 a 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 I 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 _9/.2o —012-- Owner/Authorized Agent Sig lure aDr to (Revised 10/10/2018) j/2_