3320 HOYT AVE 2021-12-17 - Laserfiche WebLink

MN 11111 PERMIT APPLICATION 161 BUILDING / MECHANICAL LUMBING IGN /SPRINKLER/ DEMOLITION EVERETT CITY OF E T PE 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: Y Y,(L. /fC/ /-tom i, je / PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: 1JJ//,-'"/,�1 XI iti/2. ?4/ TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 3l L`r/7 L� f�/f f '�/ J 7 CITY C ["i L 7 STATE /Z,A- /Z ZIP j[j / OWNER PHONE: . - �7- O// OWNER EMAIL: Cif?&C--C�� e Vt CCMCO---- ,- yl t CONTRACTOR NAME: 0G(i/A L CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: '0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: .(� - , /�7'? —'G'`/ v'I ,-:_/,%1-/" /1 -f l) /%�.�-,1-L'' CONTACT EMAIL: 'l`{--6e1l��`' t ' ....aJ)f" BUILDING INFORMATION Existing Use of Building: --1) Contract Price of Work: � /)/ '4 3. ; 500 r�' Proposed Use of Building: t-i t� ` Heat Source: Gas ric---`-cr r -- BUILDING USE: REISFR 0Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: 12aNew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: e. eIP�5r�� 4-t✓.s �� terli l c3 /�Z� t/f�'GfJ�� 4� 't Lr J 7-D/L• ,, _ wT/L i 7y 5/Ai/( i'G z/A (, 0 �t X'7UA ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING P MIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List o fixtures Count List of Fixtures A/C-Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) J 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 C 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 Re 6'L;_(i -r Water Suppression System No.of Heads f e 1/�r5tlil---r Chemical Suppression System No.of Heads P/Zf fiR -t v C'-G/1tit2 N12°i,1.16 c 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 PE•ydp.2_00 Owner/A4iorized Agent Signature Date (Revised 4/15/2019)