3014 HOYT AVE SEACOM 2021-12-17 - Laserfiche WebLink

Mill • PERMIT APPLICATICTN BUILDING / MECHANICAL / PLUMBING I 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: 30/41 rlUY7 AIDE E f✓EtQE WA 99201 PROPERTY TAX#:Oo113ct l7/q 02300 LEGAL for new construction: Short Plat/subdivision_ Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: SUTilleet.MJO Ito VEd?N1EN7S LLL TENANT BUSINESS NAME(Commercial): seA �D,vj OWNER MAILING ADDRESS: STREET 3Ol 1 I-tUY7- AV E _ CITY EV62ET7 STATE WA ZIP PAZO/ OWNER PHONE: 1125 - 60g- /6 3 F OWNER EMAIL: G biG e GA,1,1 5cc.c pM . e_pm CONTRACTOR NAME: //EA774 ..t/012.7,'/W ES% CONTRACTOR ADDRESS: STREET 27/0, /0 ill 7f1 ST G7. S. CITY LAKE WOOD STATE WA ZIP 7f -i99 CONTRACTOR PHONE: 263 995' 70 9 / CONTRACTOR EMAIL: b b /`O SAA4 @ {l eg4HnO/4'I cUGsjr'_ coin CONTRACTOR LICENSE#(REQUIRED): /AA 71-1J1./7-90(57--- CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):4'I '/ / PRIMARY CONTACT: ❑OWNER Y 1( CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 251 K95 70C11 II SR'Ad 8ROS/V 4!✓ CONTACT EMAIL: b 13ro&oar) head 1701' 1 the&t. CO/Y, BUILDING INFORMATION Existing Use of Building: PgQ FSS JON/}L SE,eVI Les Contract Price of Work:$ 9XZ , " Proposed Use of Building: P20 FESS/OVAL 6E2V1 CE-S Heat Source: ❑Gas DElectric ❑Other_ BUILDING USE: ❑SFR Townhouse ❑Duplex EADU ❑Multi-Family--#Units: 'ommercial ❑Accessory Structure Type of Project: ew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTIONO WORK: INSTALL (J) ILLUMIAA/ATEO W/\LL S16N RC A,NG " SEAC0M A/e " -I-Ca-WM-06Y 501.c/710,0 (i 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 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 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 l 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 Offffici�al`Use eOOnly ll//Zfi2 P VA /l0 W O prized A Date (Revised 10/10/2018) 7 )