1020 NORTH PARK DR 2022-02-23 - Laserfiche WebLink

IT PERMIT APPLICATIt A.lid—/—i BUILDING / MECHANICAL/ PLUMBING l SIGN /SPRINKLER/DEMOLITION CITY OF EVERETT PERMIT SERVICES 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 (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:1 OZb i 14 r J D Ill(6 11- 1/1- 7520 PROPERTY TAX#0044-7000D 4660 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: ,'CA" ,f 4 /61 ro l j ne. mi n TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET IOW / -ParL_, Dr- aw 'V .c. STATE Off- ZIP qa203 OWNER PHONE: �J •23 b • 73 0S OWNER EMAIL: G�t►1�(rr KA f) t G I GU� -!7>0/ CONTRACTOR NAME: 12)1 0 )( Con f M ►c,„.47 b-11 CONTRACTOR ADDRESS: STREET 3c0 I ��;,L4zk''r A'V� CITY 'v /,(�JT' STATE ZIP / C7� CONTRACTOR PHONE: • .c q- L 2- CONTRACTOR EMAIL: 4-�V � °an -air/ �3 �{ 5 e bbx«�r��.-fi CONTRACTOR LICENSE#(REQUIRED):j)J-OXLC 9 J3D CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):61 11 PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: .-'-Z3 6-7 'tTh �( (rci Ii'n.lp. fi r CONTACT EMAIL: G,1i•yic,roOwn (ei? 1rU�vl , Cori BUILDING PERMIT APPLICATION �-- Existing Use of Building: 5 �1- Contract Price of Work:$ `1 IOD Proposed Use of Building: VI Heat Source: J fGas ❑Electric ❑Other Building Type: XSFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: OCommercial El Industrial Type of Project: ❑New C Addition ❑Remodel ❑Repaiir DTI. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: fxDc►ric i z rc c, -n t c c1cl w(ITC, 5-k,rG c,�nGp srnc►11 b room', ,ci c cc c i�-- ci c L ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION NA- Type of Project: _New x 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 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# io/ /i� Gig/D -DI� Owner/Auth oriz Agent Sign ture D e (Revised 9/23/2016)