5307 ROCKEFELLER AVE 2021-12-17 - Laserfiche WebLink

NMI PERMIT APPLICATI BUILDINOMECHANICAL/ 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: 5 T3 0r7 R O Ck�C lit dye, TiPfQt1` I,�LO3 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: \1i LLICV rill=C 1 V— TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 71 q/9 ()ice.' 012 . CITY CL1L L r T STATE VLiA ZIP 'S'L Cl.5 OWNER PHONE: y z_ 3I`? l /7/ OWNER EMAIL: G; i' ivi r C I e r— S v0s;7 . C0 vn CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT:. OWNER ❑CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: cJ 2 S "7/ t//1/ \J L_LICK ML 6citZi CONTACT EMAIL: be v.J fin c rc 1 e S ' IA Sh • CC1 Al ' BUILDING INFORMATION Existing Use of Building: re-SA4Linfi\ 4) Contract Price of Work:$ i DZZ• D' Proposed Use of Building: j Heat Source: ❑Gas ..laElectric ❑Other BUILDING USE:/48FR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition PFemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler CI Demolition ❑Change of Use DESCRIPTION OF WORK: /) / �0 i 1 c .�>1-1-c a Y 51 vt i R 1.,.'c.c�1 t" 6 c4£r�N'e V]+ -h- f oul I^,4 r v, -c i 40 }-�i i v i ele a ecesS . iA\.S a w- 1� . 2 6 e.kYcr), S J Nc(5J it y 1Jle i In b a S..Q wYv t , __11' 1n,.•.,,p_ v,.4 fl ut v'}. (CCei"F10,-, 1v\ InG4LV'c'0g` , __,e.Cj,2S )c--1 '1-t'1�,, (oak 6S, (o--u rt-c-i*-S . �/twit e7c- ) ASSOCIATED BUILDING PERMIT#(if applicable): Y'eei u Ce s 12-e CA' \3. fd c.-r` C\Cs 0 . )vi C } ,)) e/Yee cN Md ou;-3 t t 1 S I v\ MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION b 45e441Frr 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) I Shower,Tub,or Combo Boiler Gas Range v Clothes Washer t 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 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 I 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 '' PERMIT# 0\g 12....... 0D \k Owner/Authorized Agent Signature Date (Revised 4/15/2019) i �7