3921 FRIDAY AVE 2021-11-17 - Laserfiche WebLink

MIIIII PERMIT APPLICATIOI in BUILDING i ECHANICAL/ PLUMBING / SIGN i SPRINKLER/ DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I 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: 3121 Fri'pjA Ave X PROPERTY TAX#: 00(1E70/DCJ5003U I LEGAL for new construction: Short Plat/subdivision IL d ilt4tr A i. To Link GG5 Lot No. 3 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Swr/. Home Lees;pleb 5 L , TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET '!1.2,e? 32tid .h't S' f' 6vcRt ) ci STATE tiM ZIP gA,zo 1 OWNER PHONE: _So 66/ —50 9 —lOWNER EMAIL: Nhl ,1,86$ ® Khoo•,,,, CONTRACTOR NAME: MAJ D,t/ ... 3eLk D SA I )2Ck Co,ds7 Lf i.o,t) CONTRACTOR ADDRESS: STREET 1(7 E) .h,v i�S!PA-) S1- CITY A(l itAfLON STATE Vit ZIP 7 '22 3 CONTRACTOR PHONE: 4(25 308- rgC'o CONTRACTOR EMAIL: Bec.a46SCD,uSfQuC to i aMU, •Ca Ir c • CONTRACTOR LICENSE#(REQUIRED) B EC,tc CC..4i 353 Q p CITY OF EVERETT BUSINESS LICENSE#(REQUIRED) 1 PRIMARY � ... -. •�, E,.„, . �_ CONTACT: ❑OWNER 'CONTRACTOR 0 OTHER(Please Specify) F 0) 5 N 017 CONTACT NAME: CONTACT PHONE: /fz5 3U8—/8'g0 An f rl01.. giGLk CONTACT EMAIL: S{Lk tUS co 0S412u6r,0,0 pfric,,,Y .Go(`i BUILDING INFORMATION Existing Use of Building: S;Nlyk fcvh;IN (t_f ICA/L� Contract Price of Work:$ 3 .50Y: Proposed Use of Building: Sig MP_ 0 Heat Source: ❑Gas IA Electric ❑Other BUILDING USE: ®SFR ❑Townhouse El Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: CI New ❑Addition ORemodel El Repair DTI. ❑Sign ❑Sprinkler ❑Demolition OChange of Use DESCRIPTION OF WOR : (Apc)'tL , urc m_°S,flyiwteS I pal t 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 NC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) ,2, Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher 3 Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain I Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatior Floor Drain 2, 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 stWater Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains t 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 ' 4 C/2 7 / , PERMIT, #` \ f. o J (902 Owner/Authorized Agent Signature Date (Revised 4/15/2019) I v