1519 132ND ST SE GREAT CLIPS 2021-11-09

PERMIT APPLICAT1016 ix BUILDINOECHANICAL/ 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) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: l 5\-t 132 VIci cat red- 3E Suit e F PROPERTY TAX#:gb 5 30OO-{-t(p L 7O LEGAL for new construction: Short Plat/subdivision Se C, L'30 n 'fig Lot No. 3 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Pc lO a VY) E. TENANT BUSINESS NAME(Commercial): ()reed c(j p OWNER MAILING ADDRESS: STREET ) 5 5.$l J 4 E T IA Si-. C� ^� CITY Imo(pp 'Y1 boll STATE Y jf4 ZIP"//��i C O5D OWNER PHONE: t\th-Ss I OWNER EMAIL: �I'\ CONTRACTOR NAME: NIOt(tli ;ejt- ifi✓ Svisi-e ✓)(1 CONTRACTOR ADDRESS: STREET a tC115 S3(d AVC S Nct61 D /� 3, CITY Vs v\� J / STATE Y VA, ZIP Clgt CONTRACTOR PHONE: 'O 611 a• SO. CONTRACTOR EMAIL: KO reCk_r6 07 t,t..). re_5;j3t Y��yl 6 ,C_v v� CONTRACTOR LICENSE#(REQUIRED):N U R f� F`)�S1S k , CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): `1" I I-F LJ PRIMARY CONTACT: ❑OWNER [CONTRACTOR 0 OTHER(Please Specify) 0 I (tiL'3.'7-et.`1-i.lr"i' CONTACT NAME: ( CONTACT PHONE: r7,6Lv 1 a 1-5c3\ RC& N D`Re.C,V For N()Ahwf'5fi •v'_ J�-T'Wt'SONTACT EMAIL: \{o re {ei.)nW 6r�43 L,zjft w1 (�, C ✓t. BUILDING INFORMATION Existing Use of Building: C D tryt ci .'t i t v_`r•vu' Contract Price of Work:$ 2II Proposed Use of Building: C,CYf\.. YL,2"1 `L,i. Heat Source: OGas ❑Electric ❑Other BUILDING USE: ❑SFR ❑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: (^ ✓ 5 p-vz i-\..tt i ---v- T(� a es._c 1.- VLF GPve -k--A-1\- "t--c'C'2"-vA vacs c) (( }-�,�;` (a-) G,p v�- ,v l cJ r ALL tv ,,A 1._ jt �1r? C c_a-h`�'l ASSOCIATED BUILDING PERMIT#(if applicable): ELV' c v'. - � ps .•l"(C. Ll&&tine '� vt(,U((VZLCt_�� (, C4�4CU an cats, 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 I 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. ��(11 } City of Everett Official Use Only =+4U. (4A� [31Q , `/, Nievi-;1( v)i-Are Ljti 0. ba -tea-! PERMIT# k&2.-.\ 02- 0 0 4- Owner/Authorized Agentllignature Date (Revised 10/10/2018) 1 2_