4011 FRIDAY AVE 2021-11-12 - Laserfiche WebLink

PERMIT APPLICATION 11.01 BUILDING I MECHANICAL/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 I(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits (Blue or Black Ink Only PN.$ ) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: O Fr(CI Civl /\'I - PROPERTY TAX#c-4CoCj O i(3 06©0 - LEGAL for new construction: Short Plat/subdivision `J Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: N l(C in a p I T, ,3 on el TENANT BUSINESS NAME(Commercial): Ai/P OWNER MAILING ADDRESS: STREET 4.01 I F.-i-tot c,1 A q-c CITY E.%l ce.ti— p STATE W)ft— ZIP ++ 9R c.C) �C)Cr) / Y 9 - (L.fg I OWNER EMAIL:�tke0 o1) ©6\rociibC u..'--6'�actn, O 3 OWNER PHONE: �`ff CONTRACTOR NAME: -� Q ( u) el CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS UCENSE#(REQUIRED): PRIMARY CONTACT: OWNER ❑CONTRACTOR 0 OTHER(Please Specify) CONTACTNAME: a,CJ . CONTACT PHONE: ',_q c 9�64 q i t a i c t Q ' i .13 clAd CONTACT EMAIL: m t Vcr2 cbgi oLa I cc:of t to(a cC.G C t °U BUILDING INFORMATION Existing Use of Building: IN,S L a -e.41 re. Contract Price of Work:$ I C.)O.00 Proposed Use of Building: pe S j clizAncR Heat Source: DGas lectric Daher BUILDING USE:t2S R ❑Townhouse ❑Duplex ❑ADU OMulti-Family-#Units: OCommercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel (pair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: pi a csz._ a � c pa r1CS ex t Sr-1 v-5 c) .-vic.1c, ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures List of Fixtures List of Fixtures List of Fixtures Count Count Count NC—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 1`SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression SystemI No.of Heads Chemical Suppression System No.of Heads ACKNOWLEDGEMENT:I have reviewed this application and confine 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.lam 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 ors Law 18.27 RC 296.200A WAC. City of Everett Official Usee Only// aba iIT # ��l dZZDSV 2-'.. .