1925 60TH ST SE 2021-12-23 - Laserfiche WebLink

.® PERMIT APPLICATION" RI 7 BUILDIN MECHANICAL/ PLUMBING /SIGN t 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 ©O'7 PROPERTY TAX#: 0049.56 O/ 200 PROJECT SITE ADDRESS: �� %„. GD SL-^ /'^- C//G-Tc�L:�— LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: .:/ A, A/ / = TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET . 5.., • &--;1' - J '.2'':f CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: (5 i_Az/t/-=-7 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 trOTHER(Please Specify) . ,i.%'/' CONTACT NAME: : 9n CONTACT PHONE: !, . - ,: :_. ,- CONTACT EMAIL: BUILDING INFORMATION ( _5 Existing Use of Building: Contract Price of Woik:$ ` (-S-2_ � Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ommercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: z11/4461--,A/ 241X344,' G 'k,AC,c TL 6I.1.1 Zc 2 4`X 3 D' c u tic ASSOCIATED BUILDING PERMIT#(if applicable): A/ )A 060 ? f?�, ., .77t71 22`R,4il, �-' 79 ®on 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 ,5 Gas P' g Backflpw Preventer(Inside Bldg) !• Shower,Tub;or Combo Boiler G,a Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer %'Heat Pump&Ductless Dishwasher - 2. " k-Residential(kitchen,bath,bar) _ Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop ,2 Exhaust Fans(Residential).- Commercial Ventilatior Floor Drain t Toilet ' Exhaust Hood(Type I (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(T e II) 1 Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hod(Residential) Wood Stove Interceptor-Sand/Oil,/ Water Service(behind meter) I Forced AirSystems . Other: Medical Gas ! Water Valves or Fixtures Greplace/Insert/Log Roof Drain / Water Heater ,I31RINKLER/ SUPPRESSION SYSTEM Sew a 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 lq 1 2_ D OwnertAuthoriz_ett Agent Signature Date (Revised 4/15/2019) ( A--