2111 ROSS AVE 2022-02-15 - Laserfiche WebLink

• . • PERMIT APPLICATiON • BUILDING 1 MECHANICAL I PLUMBING I SIGN I 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.everetfwa.gov/permits 4.ae•orr isfs ck gd:i itin17f.etfi e) • m r feet 1INM N Order •• , - PROJECT SITE ADDRESS: 1 it y PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) I: . • : . . .,CONTAdY,INPOit Tif©t�l . . • • . . . OWNER NAME: (p1---7-ii-r O..V TENANT JE(if Commercial): I OWNER MAILING ADDRESS: STREET I,G2.� �j�, @�,r U 1�'Ci- \ / at� �J q CITY' Ate .'. V STATE A ZIP L . is OWNER PHONE: . .._,___ ..r. ...,, . _. .,.r..._....,_ OWNER EMAIL:,.... ...,......... ,.r...,.... . .... ....... CONTRACTOR NAME: E. VCP_�I D ..) ,r.6` wreC i-f c WI A-c- CONTRACTOR ADDRESS: STREET + + 212-O PA-CA -. AU fir cin .0L 6(0. 6 ( STATE (A/LA- ZIP et SgOl CONTRACTOR PHONE: 4°2--5•-2-I;2.'sf f • CONTRACTOR EMAIL: ; CONTRACTOR LICENSE#(REQUIRED): JO!. 5S®2.2v r CiTY OF EVERETT BUSINESS LICENSE#(REQUIRED): 0 6 -• ',- .-._ u.rr.p••r-v-,-..- �.v-+u..+-.e rt•+.•..ru w..J... ..v.....A�...n.a+.%Y 4• i..r-wrn+v]f'•.Y•.r-mar .ns r......-..r�r., .+y n� w.... ,. ,.,. .t w-.... n ,.Nrs uwn...n, v v._r.r•. n_...... PRIMARY CONTACT: ❑OWNER RCONTRACTOR CI OTHER(Please Specify) • CONTACT NAME: CONTACT PHONE: LI 75_2.5"2..,"//9 • CONTACT EMAIL: . .: _. bCf(1<.)]Ii4It'a P MIT APP IdA`i Jfal • • • • • .` 1,5 Existing Use of Building: I Contract Price of Work:$ i - 5 400 .- --- Proposed Use of Building: Heat Source: CIGas T lEiectric °Other Building Type: CISFR Detached CISFR-Attached ClDuplex ❑Multi-Family-#.F of Units: Commercial °Industrial Type of Project: ❑New °Addition ❑Remodel `�Repalr °T.I. °Sign °Sprinkler °Demolition °Change of Use DESCRIPTION OP WORK: xAt..)&e. o`'r. �,g5`�i►•1(v IeOrT©(� Lim c- Le,JI tiG-Z� ic 5eet iZodiA Tar Mto4'r i+.t Ad-a ke c4 Lv(sTi 5 kt-a tT IHCI 4 At.9b &LT S�CLT Fete T,,, GIN r A 5 -1--. ASSOCIATED BUILDING PERMIT# if applicable): i.: ' ,Mebiii i(cAL OERaMtT APPPIt.6CATII®NtiY . • • , PLUII(Itittf0 I0Eitlittilt APPLLIGATII®N • . Type of Project: New Addn Alteration_Repair j I Type of Project: New Addn Alteration _Repair i If #0f List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fleur List of Fixtures Fixtures NC—Air Handling Units I 1 Heat Pump ; 1 Toilet Backflow Preventer(Inside Bldg) Forced Air Systems 9 Unit Heater ! ; Bathtub Urinal Gas Piping Boller Lavatory(Wash Basin) Drinking Fountain I • Water Heater Refrigeration Shower _ Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap I Gas Range Ducting Dishwasher Roof Drains • Clothes Dryer Hookups Other: Clothes Washer Medical Gas ' IRange HoodWater Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: : .'sktiglO L1 GR/ ,yPPR'EpgiON SYSTEM 1 (Number of Heads CKNOWLEDGEMENT.•I have reviewed this application and confirm the Information contained herein Is true and correct.Work done pursuant to this permit must comply with urrenf 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 ui/ding Official before being authorized under any circumstance.lam the owner,or l am authorized by the owner of this property to perform the work for which application is made, id 1 comply with the State Contrractors La,18.27RCW and 29s 200A WAC, / City of Everett Official Use Only PERMIT 1Z.4.___,..,5d e-// Kibt6,..... 157,1 I vner/Authorized Agent Signature Date (Revised 6/20/201 B) _ /Z