703 ALVERSON BLVD 2022-01-11 - Laserfiche WebLink

miii PERMIT APPLICAT' iz BUILD/Ik / MECHANICAL / PLUMBING / SI SPRINKLER/ 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: 767 3 67 Y , /ice PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) j J� /// CONTACT INFORMATION Lth�7 4�OWNER NAME: 74,01 q(l c TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 7�` , c 7i 1112 4,44- CITY fiAefe..11' STATE L✓G ZIP OWNER PHONE: '1Z5 if/ $ t2 I ll q OWNER EMAIL: j-C, 5 A.ef 117 lQ G v' 'C.,9 CONTRACTOR NAME: 6o2j t-11) CONTRACTOR ADDRESS: STREET 202-2 i (,77 > AA— NrL CITY 41/1/ /i STATE tjf/ti ZIP I 0 ,2"- -; CONTRACTOR PHONE: °I25-- 75-q" Z SS CONTRACTOR EMAIL: Jai., cr P G DZ 4 ; 6 Dill CONTRACTOR LICENSE#(REQUIRED): . (/� 4 J 12-2-AA CITY OF EVERETT BUSINESS LICEN #(REQUIRED): aL ii 65 PRIMARY CONTACT: DOWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: f CONTACT PHONE: ll.t7 11 4 ' -- t'J/1-/1 ,€r ✓j ,T2't Slot/ CONTACT EMAIL: cq BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$ 1.lJ DSO Proposed Use of Building: ds A ry i-t /4'/)Y2, Heat Source: IErGas ❑Electric ❑Other BUILDING USE: IrafFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ONew ❑Addition ❑Remodel ❑Repair DTI. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: D wil I I 'I(\�-AI j ivy .--s) ti ASSOCIATED BUILDING PERMIT#(if applicable): - 1(10 g ©? 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 / Gas Piping Backflow Preventer(Inside Bldg) / Shower,Tub,or Combo Boiler tin 1.1)pf 44.1 1-ili Gas Range Clothes Washer 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 I Exhaust Fans(Residential) Commercial Ventilatior Floor Drain i 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/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 7..........„.„,../.--",..._., //' l G 1 1 PERMIT, , g ! ' O Owner/Authorized Agent Signature ( / (Date I I (Revised 4/15/2019)n