8615 7TH AVE SE 2022-03-02 - Laserfiche WebLink

4E-77- PERMIT APPLICATION BUILDING i ECHANICAL / PLUMBING / SIGN / RINKLER / 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) 0(,� lij PROJECT SITE INFORMATION PROJECT SITE ADDRESS: .SS i 74k AVr-. PROPERTY TAX#: 1SO51 co ZOo 100 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) L CONTACT INFORMATION OWNER NAME: ST , a r-,..3 Mal daitp. P:Pis 1i.- TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET aSI 7- 7-4:- Av , CITY : A 1Z -T-it— STATE Wile ZIP q5)O$ OWNER PHONE: '1Zs^ 353- tZt t OWNER EMAIL:Ti YGNNG kihq, SWt wt petel , OI3 CONTRACTOR NAME 'G�--�-h1 IeYUb f ,; �Jf �� .J CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: '/ CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): � �/y�`- dQ�� CITY OF EVE�RETT BUSINESS LICENSE#(REQUIRED): Zil 400 PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR VOTHER (Please Specify) A►-Ctl tiGGl CONTACT NAME: AT-74: N//I► !eS WQ 1k4.✓ CONTACT PHONE: sf'ZS — 251 _ o�'6D 8 C � Ms1t •f1-(A1( Aratt l'iccis CONTACT EMAIL: tides& hviki arc14, cow, BUILDING PERMIT APPLICATION Existing Use of Building: t_.r t rcct Pia y Arta, Contract Price of Work: SiOO/CGO Proposed Use of Building: 6i5/44 jet Ask.)/� Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detachedv ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: L7Commercial ❑Industrial Type of Project: ❑New L1dAddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: A S,si! Sc Acytxvt0(I A t.l® c, 14 vizst 0%4 0 r fact` l.)(1•ST1ti Et CoVF rE ?LAY AaA I f'TO A (IMNIK t uA. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration Repair Type of Project: New Addn Alteration Repair #of #of #of #of List of Fixtures List of Fixtures List of Fixtures 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 Number 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 PERNHfi#; • ,, ail ,‹.. .,,- ---: -/-ila,V ___ ___— 00 06 0 (39 0._V / Owner/Authorized Agent Signature Date (Revised 5/20/2016) ( 1/2""