7623 CASCADE DR 2021-12-16 - Laserfiche WebLink

PERMIT APPLICATIO BUILDINECHANICAL/ PLUMBING /SIGN*PRINKLER/ 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: 7623 CASC4DC ,7R/!/E PROPERTY TAX#: 0D3936003OZ8OO Pa I LEGAL for new construction: Short Plat/subdivisionREVE&J'Rol4,6 77 4OS Lot No.25 (attach copy of long legal description) // CONTACT INFORMATION OWNER NAME: NIARG BFI�/IL/4KP TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET '7623 CASCAO i7R/1/6 CITY VggY !r STATE (� ZIP 961263 OWNER PHONE: (y )256- 9 / OWNER EMAIL: //2 A Cris ade.4e!//l '. Ga ✓I 1- CONTRACTOR NAME: /70 A/ /0(L R6PA/ /\"6 ODe.- 7/V 7 �Le CONTRACTOR ADDRESS: STREET 3/3 L1� Q TK I✓K CITY l r STATE (A J4 / ZIP 98Zo 3 (412,59 CONTRACTOR PHONE: 2 93- / 9/3 CONTRACTOR EMAIL: ` il- ®e a(4howervq,l>-, evl4'7 CONTRACTOR LICENSE#(REQUIRED): 93,,��1a8 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 5y/T Z PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR U.�d6THER(Please Specify) '()/GD//1&y DA'15/.N6 CONTACT NAME: ,-,q 7-4(gR/A/E ZS/1,f CONTACT PHONE: (2o6) 856 - 93Z3 CONTACT EMAIL: kei'My zei,1-7 ©104Q, /. Go144 BUILDING INFORMATION `f Existing Use of Building: c5//(/(.7le E;;;I i 7 v Res./OEIVC6contract Price of Work:$ 75/0 e5T(T1 ) Proposed Use of Building: 5 P . Heat Source: ❑Gas DElectric ❑Other BUILDING USE: SFR ❑To``wnhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: //re_4( 1 /,TEiwoo L is/%8 SE 4 bD/T aw llk©6e.. Ak/s T?N6y Cewtiber 53 Si oP- 4rED Z/ll//ti SP�4cE , 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) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless 1 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/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 15( t•-'1A--. /'//7 ZD PERMIT# 32O 1n V 0101� Owner/Authorized Agent Signature Date (Revised 10/10/2018) /` , /?)