Laserfiche WebLink
EVERETT <br />WASHINGTON <br />PERMIT APPLICATIO ' <br />BUILDIN.MECHANICAL / PLUMBING / SIGPRINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: 7A/31 ErVrc . it"4 k/A `T <br />PROPERTY TAX #: 003937Oo too Yo y <br />LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: A16jt7HWQ-r kN (Z4fS7i4t AAA/T /A/C. TENANT BUSINESS NAME (Commercial): <br />OWNER MAILING ADDRESS: STREET /00/5' 14%7"/At/E NE 67e <br />o <br />CITY W 000fAJV 1 L iL ( STATEWA ZIP Njo-? 2 <br />OWNER PHONE: <br />OWNER EMAIL: <br />CONTRACTOR NAME: fj�E.97� %VOQ-7NkJES 7 <br />CONTRACTOR ADDRESS: STREET 27/0 /Off"V 67 C7. S. <br />CITY 44964A000 STATE tV,' ZIP g"yyQ <br />CONTRACTOR PHONE: Z 53 WS 70 y f <br />CONTRACTOR EMAIL: o <br />CONTRACTOR LICENSE #(REQUIRED): <br />ICITY OF EVERETT BUSINESS LICENSE #(REQUIRED): <br />PRIMARY CONTACT: ❑ OWNER IkCONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />8RIA JV j R oSAIA V <br />CONTACT PHONE: 2.33 if <br />CONTACT EMAIL: $ A -u► »a/ I IA eJ <br />BUILDING INFORMATION <br />Existing Use of Building: p.4sr voe*N7 <br />Contract Price of Work: $ 7500 . o0 <br />Proposed Use of Building: S1 'T <br />Heat Source: ❑Gas []Electric ❑ her <br />BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: Elcornmerci7 ❑Accessory Structure <br />Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. 3sign ❑Sprinkler Ion ❑Change of Use <br />DESCRIPTION OF WORK: iKPtACE E1fIS-r"v& 54&L Loco W1?t4 (7.) /j.c.t0.e1A/.f760 g�•.l_ LVL.o, Q*Ac.te-f FvrSW'VA <br />1 tivMrNk7CD GKA,rNEG 1-F 79C�-S w�tN NHv G:� Sj� /LL v.n N.� 71+0 L (,�'NN t L�T1Cry ii:C/�LhtF F�rt7N6 <br />PtAFG7to-Av/*c 441f400 14�uA�tN}7E0 illLlc7LIN�lcl / /NS7�}�c. 1� �.N/rV..Vh tA-✓/H Mv�w/iCb e1X4�vNE� <br />/-F77444 1"_ -", V4rtot IZ fOLATCF S/1-4 #Wfs, on/ &W1S7yL f'Gf¢ SJr,+A &VA st`y evo S7,tvG7.rt.Jc <br />ASSOCIATED BUILDING PERMIT # (if applicable): C t4A'VGE3 >o O ^^0 <br />MECHANICAL <br />PERMIT <br />APPLICATION <br />PLUMBING PERMIT <br />APPLICATION <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />A/C —Air Handling Units <br />Gas Piping <br />Backflow Preventer (Inside Bldg) <br />Shower, Tub, or Combo <br />Boiler <br />Gas Range <br />Clothes Washer <br />Sink -Commercial (3-comp,prep,floor) <br />Clothes Dryer <br />Heat Pump&Ductless <br />Dishwasher <br />Sink -Residential (kitchen, bath, bar) <br />Duct System (Remodel) <br />Refrigeration <br />Drinking Fountain <br />Sink -Utility, laundry, mop <br />Exhaust Fans (Residential) <br />Commercial Ventilatior <br />(Not Heat/AC system) <br />Floor Drain <br />Toilet <br />Exhaust Hood (Type 1) <br />Hose Bibb <br />Urinal <br />Exhaust Hood (Type 11) <br />Water Heater <br />Interceptor -Grease <br />Waste/Water Piping Repair <br />Exhaust Hood (Residential) <br />Wood Stove <br />Interceptor-Sand/Oil <br />Water Service (behind meter) <br />Forced Air Systems <br />Other: <br />Medical Gas <br />Water Valves or Fixtures <br />Gas Fireplace/Insert/Log <br />I <br />Roof Drains <br />Water Heater <br />SPRINKLER/SUPPRESSION <br />SYSTEM <br />Sewage Ejector or Sump Pump <br />Other: <br />Water Suppression System <br />No. of Heads <br />Chemical Suppression System <br />No. of Heads <br />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 <br />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 <br />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, <br />and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />City of Everett Official Use Only <br />PE T # <br />(Revised 1011012018) / i <br />