3525 NORTON AVE 2021-12-10 - Laserfiche WebLink

mm • PERMIT APPLICATIONS ni BUILDING / MECHANICAL/ PLUMBING / SIGN / 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 I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: jJ J kJp.(i-tx' I-1\ ( .) tj,IQ_A`it PROPERTY TAX#: OO f S HOC)3 U 13 C. LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: p ictitt,/ Aft(ea I-04v/ TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 35 j5 �� #p,.-? A viz__ 5E ] CITY C V ear f.' STATE (i.-A ZIP 0 ✓-O OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: tt3'ti='j Imo(. , I/C(d f14,14 i) CONTRACTOR ADDRESS: STREET )91CD /,S hli jj ky c;k, Y l ` t STATE Lt-J/ I (� CITY JYlU6'layYtt; {{"� ZIP ��3-'it.:- CONTRACTOR PHONE: °/ -77 s'5 -U Sc2-I CONTRACTOR EMAIL: bfoo-;5 i((,f. !t,t✓YI )) fi a hoc, , C_'ci'I'I CONTRACTOR LICENSE#(REQUIRED):-j .C)r PP(-7.3 L 7 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 5` 1.3 t PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: Lk 2S cgS c5 2 ,,,kcc.., C_P__ CONTACT EMAIL: BUILDING INFORMATION Existing Use of Building: 1-10LG6.0 Contract Price of Work:$ ),j )L; el-- Proposed Use of Building: tloj . Heat Source: ❑Gas DElectric DOther BUILDING USE: fSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ®Remodel ❑Repair ❑T.I. ❑Sign LSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ` II O\ Yy) 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 A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) `r Shower,Tub,or Combo _ Boiler Gas Range p 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 Ventilatior\ 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 INo.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/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 C, LU -:— r)/kr,i- / -3 — 19 PERMIT#c) \� 00 Owner/Authorized Agent Signature Date (Revised 10/10/2018)