3420 TULALIP AVE 2021-12-23 - Laserfiche WebLink

• PERMIT APPLICATIO. 01101107.,,:Lz BUILDING I MECHANICAL I PLUMBING /SIGN I SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 4iiii3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits 1(Blue or f•lack Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 342_0 (u,(a(i.e /11Uf-- PROPERTY TAX#: OV Ll `y -J(N-j 1.O32_o I LEGAL fcr new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) !i -- —_ CONTACT INS*R ATIOli OWNER NAME: TEA d Tu ale TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET Po f3c'c l Z'S t)y CITY L u-e VQ STATE 1.(1A ZIP 9 y-2_0 4, OWNER PHONE: `t Z S-359-b'ZS'3 {WNER EMAIL: -11LtoAy.J J Ma/I Goni CONTRACTOR NAME: 5 j L(. La 1'1 q us p- CONTRACTOR ADDRESS: STREET a.`JO 1 5 1-3 S.1' CITY j^�. o i QE.a V" A- ! i 2-0LTATE ZIP CONTRACTOR PHONE: 1-{25- 2413-S57S -- CONTRACTOR EMAIL: L. C. G 5 C O ✓K C-5-I'• `-I-- CONTRACTOR LICENSE#(REQUIRED): I—14-"v Lai, H L.Y -t/ N' 1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): Dst'pa,f Z PRIMARY CONTACT: itOWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: `i i S-3 Ste(—, Z 83 J tiLdy -I L1oky CONTACT EMAIL: rooky,j(0, ,e/h'la(.tl• Gov)" BUILDING PERMIT APPLICATION ,1 Building: Ir�Sit�ean�� Contract ExistingUse of �i Contract Price of Work:$ S 0 0 00 ' 0 a Proposed Use of Building: ve_si den c.e- - y Heat Source: ❑Gas Ii'Electric ❑Other Building Type: ❑SFR-Detached ,FR-Attaphed ODuplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition KRemodel ERepair CT.!. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Re da e_oc�a�,,h ke,,-"e-- p- r b4i Idt,� to1c-o,_.$ dc,,(c1 i /_G _SDI ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _Repair Type of Project: New _Addn (/Alteration _Repair 1 #of #of #of #of Fixtures List of Fixtures Fixtures List of Fixtures F,,•U,.es List of Fixtures Fixtures List of Fixtures A/C-Air Handling Units Heat Pump a. Toilet ---- Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater 'e1 Bathtub Urinal ,_3 Gas Piping • Boiler 3 5 Lavatory(Wash Basin) Drinking Fountain - Water Heater Refrigeration 1 Shower — Floor Drain 1 Gas Fireplace -- Wood Stove _ I Kitchen Sink&Disposal — Grease Trap ' t Gas Range Ducting ' Dishwasher Roof Drains f 4Clothes Dryer Hookups Other: I Clothes Washer Medical Gas I • Range Hood Water Heater Other: 3 Exhaust Fan _ _ Sink(Service/Bar/Mop/etc.) Other: —__ . .. _ r SPRINKLER/SUPPRESSIOI1 SYSTEM ____ Chemical or Water 1 -- 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. oo �/� ,��i J / City of Everett Official Use Only i"'� �l/�V '✓ 1/ ( 7 �(�� PERMIT#,;; � '�I v �I e�/ Owne I uthorized Age Signature (/ Date (Revised 9/23/2016)/2 4 �z