903 W CASINO RD 2021-12-22 - Laserfiche WebLink

PERMIT APPLICATION. BUILDING /MECHANICAL I PLUMBING I SIGN I SPRINKLER I DEMOLITION CITY OF EVERETT PERMIT SERVICES IIIIIIIIIIIII> i, '''7 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits it:We or Slack Ink Only Please) JAL Pi`t®Jl L,c�`u SITi I I�'IfFC�ViId�APIO PROJECT SITE ADDRESS: O JA/ - Ceb4i 0 1��: PROPERTY TAX#:� ( i,Z Q(�7j c70�L G LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) ,�p�, r�l CONTACT I]'W II:MATION OWNER NAME: DAP J O j I 11'�r�.oneik T- fr.k1 TENANT NAME(If Commercial): ni3OWNER MAILING ADDRESS: STREET 620(. (7 ' 7 f�f. 3�,1 CITY I\ 1/t7H I. OU') STATE IA)j ZIP 7) 7 ,7 'OWNER PHONE: (1)6 77,2 3I(0 7 OWNER EMAIL: DO'41)A P....(aT l S@ &M#` ,COI I CONTRACTOR NAME: (.A)OO D JAY f fUM C'S 1).1 L , CONTRACTOR ADDRESS: STREET 6,3Q(p 17l la S']-, S i.v crry j/4 L)O of) GJ STATE Li)/A- ZIP C�3 7 CONTRACTOR PHONE: ,�4 7 7, , '/(,7 /'y CONTRACTOR EMAIL: ttR(LIOTISeGMa1L• CONS rua CONTRACTOR LICENSE#(REQUIRED): 09 040DWO".1: 9 O'U C. CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): i lie 11� PRIMARY CONTACT: D OWNER 0 CONTRACTOR VLOTHER(Please Specify) ProfeG-f .e_r 'CONTACT NAME: CONTACT PHONE: qz.S- 773- -1 zMo )1`Ex jb ma t Ofl CONTACT EMAIL: dui-,D j,.1 S 2�� ynkt I •COP I BUILDING PERMIT APPLICATION /��0J� Existing Use of Building: CCI�S72J 7 o 0 O ►C£ Contract Price of Work:$ 00 • Proposed Use of Building: SA(01..6 MN c/ iks allial, Heat Source: ❑Gas ❑Electric DOther Building Type: SFR-Detached DSFR-Attached ❑Duplex DMulti-Family-#of Units: DCommercial ❑Industrial Type of Project: ❑New DAddition XRemodel ❑Repair DTI. ❑Sign ❑Sprinkler ❑Demolition Change of Use " — DESCRIPTION OF WORK: J fs.p toL. F' t,c-' (Z S I,'7�9-(C COn7V G: /S•J7l)C /( 5Tva thbi, o jab - lea -� s 2-, )1 �51 ASSOCIATED BUILDING PERMi i At(It appucaole). MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _Repair Type of Project: New _Addn _Alteration Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM -Chemical or Water 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 rrent 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 Bu ing Official before 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 comply with th State C ntractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# Owner Authorized Age• gnature Date (Revised 9/23/2016) i'`, 1