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

�." 0 PERMIT APPLICAflSN • SZ �D • '°`* ' BUILDING 0 MECHANICAL/ PLUMBING /SIGN /SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES ,'1, ' rar eierr 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 (Y`lue ©lr [Muck lit Ortftlsy PIcease) Mt* SITE INFORMATION! PROJECT SITE ADDRESS: / %c,'_rj 3O Sr SL` L7/'L f2&77 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision _Lot No. (attach copy of long legal description) CONTACT I':FORMATION — OWNER NAME: . i T/3 y /y//-AWO iV TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET £ t Sr. S� t!=l/L-/Z CITY u1 51— ` V9 AO// STATE ZIP 9,8203 OWNER PHONE:425- 42O-5 O3C OWNER EMAIL: CONTRACTOR NAME: ..."—a__.--) CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR tiOTHER(Please Specify) f7R/G! CONTACT NAME: G N C©iEIVCLSI7 J CONTACT PHONE: 425-6 3_qI/ 2 CONTACT EMAIL: IrQDILDING INFO•,k1JATDONi Existing Use of Building: Contract Price of Work: $ i Proposed Use of Building: Heat Source: ❑Gas ❑Electric DOther BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑ ommercial ❑Accessory Structure Type of Project: ONew DAddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑SprinklerDemolition ❑Change of Use DESCRIPTION OF WORK: r . 2�AA-0 u(— CO Z—D (9x i g ', s- i�.4�e c~ter?/4 GG- •.roc- 11_ /ivy 140 C'DA/G(ZC--1G ASSOCIATED BUILDING PERMIT#(if applicable):t)to �c�9`_Sci�S �.., `'fir"> --i-Nz-� K ',/77[ t C'/ -/C/ (MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture ' Fixtur Fixtur Fixtur: Count List of Fixtures \ �t List of Fixtures Co t List of Fixtures Co t List of Fixtures Ni —Air Handling Units Gas Piping Bac ;ow Preventer(Inside Bldg) Sho,-r,Tub,or Combo Boil- Gas Range Clothe-Washer Sink-C.• mercial(3-comp,, ep,floor) Clothe Dryer Heat Pump&Ductles Dishwash:r Sink-Resi.-ntial(kitche .ath,bar) Duct Sy- em(Rem..el) efrigeration Drinking Fo• tain Sink-Utility,I- ndry, .p Exhaust . s(' sidential) C mercial V tilation Floor Drain Toilet Exhaust Ho.• Type I) (Not eat/A system) _Hose Bibb Urinal Exhaust •o. Type II) Water er Interceptor-Greas- Waste/Water P sing 'epair Exhau• Hood("esidential) Wood t e Interceptor-San. •il Water Servi.- (behind •eter) for-d Air Syste . Ot Medical Gas Water Va es or Fixtures f.as Fireplace/Inse .Log Roof Oral . Water -ater SPRINKLER/ SU 'PRESS ION SYSTEM Sewa.• Ejector or Sump Pump Oth: : 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.lam 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 WA C. City of Everett Official Use Only G41-61/(/' 2 1^2O 2 PER O <3 wn uthorized Agent Signature Date (Revised 10/10/2018)