1218 59TH PL SW 2021-12-20 - Laserfiche WebLink

t'1l &CHANICAL PERMIT APPLICATION 0 BUILDING / PLUMBING / SIGN / &INKLER / DEMOLITION EVERETT 32CITY OF EVERETT PERMIT SERVICES 00 CEDAR STREET, EVERETT, WA 98201 WASHINGTON (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: I Z P1Acc S W rtV�T(, jb20S1 PROPERTY TAX #: COb 36 ] - ©DD - 0T000 LEGAL for new construction: Short Plat/subdivision r i '�it1 t-V U` MIVLot No. 0 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: 90r-A LIA�MA TENANT BUSINESS NAME (Commercial): tIA OWNER MAILING ADDRESS: STREET I -- I l,i;� Siv CITY �v1t+Y7T STATE YVA ZIP 1 b LL ,3 ��i"� OWNER PHONE: (`TZr-) 3 24 - 4+0 ( OWNER EMAIL: L�•Vjkl'r^jk 111 Id CONTRACTOR NAME: flNtirr�= CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE #(REQUIRED): CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): PRIMARY CONTACT: CROWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: P-A LIAI&MMA CONTACT PHONE: ( CONTACT EMAIL: L,�rJi�iy� Q yLua INFORMATION , BUILDING INFORMATION Existing Use of Building: -f-Si 0huT i A1. Contract Price of Work: $ S © - Proposed Use of Building: Heat Source: ❑Gas lectric ❑Other BUILDING USE: I�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: C04VF42T (I) (3) AAAA,;f-_ rfif'-Ktij, )NT0 Alb, tA i (�1�Ir-7Uf A-fi A ST jntiTtt+►� XtST�►�z� f7A7-1-Ahl=, Nc Pf;-j fc..r►� o(t Nn Pk" 46Fj7. ASSOCIATED BUILDING PERMIT # (if applicable): MECHANICAL PERMIT APPLICATION PLUMBIN PERMIT APPLICATION Fixture Count List of Fixtures Fixture Count Lis fixtures Fix a Cou List of Fixtures Fixture Count Li txtures A/C — Air Handling Units s Piping flow Preventer (Inside Bldg) j Sh ub, or Combo oiler Gas Range Cloth asher ink -Commercial (3-comp,prep,floor) C es Dryer Heat Pump&Ductless Dishwashe Sink -Residential (kitchen, bath, bar) Duct em (RemodeUZ Refrigeration Drinking Fountain Sink -Utility, laundry, mop j Exhaust (Re ntial) Commercial Ventilatior (Not Heat/AC system) Floor Drain Toilet Exhaust Hood a 1) Hose Bibb Urinal Exhaust d (Type Water Heater Interceptor- G a Waste/Water Piping Repair Exh Hood (Residentia Wood Stove Interce - and/Oil ter Service (behind meter) ced Air Systems er: al Gas Wa Ives or Fixtures Gas Fireplace/Insert/Log 1 Sa000f Drains Water He SPRINKLER / SUPPRESSION SYSTE Sewage Ejector or Sump Pump Other: Water Suppression System I I No. of Heads Chemical Suppression System I INo. of Heads ACKNOWLEDGEMENT: 1 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. 5 Owner/Authorized Agent Signature City of Everett Official Use Only PER ate (Revised 1011012018) I