2429 80TH PL SE 2022-04-29 - Laserfiche WebLink

imili � PERMIT APPLICATI• Irs BUILDING'/ MECHANICAL / PLUMBING /SIGN /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:Z-4 Z. sit? PG • › l +�ivi) it 2-©3 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: MVO-I... PIA Ai de-0 TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET egliaL,e a Li 2-li 0 ?G .$ E. Jy CITY E.�/ 1= 1, � t'7 STATE 1 ZIP r& 3 OWNER PHONE: £/Z S— 3 C D' q i 5 G( OWNER EMAIL: MO-�,11t) A cZ cd 6 ti/9 IL , C BOA/ ijf Oka "� _a tw CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED) CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ®OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: Li Z C, �.� ® - ai J "2 I 1G-L sl.') CONTACT EMAIL: ?13 S2►"d ft,L'iC.D 5-2 C-; 4,/7}}dL .G C:-' BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$ Proposed Use of Building: Heat Source: ❑Gas El Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ODuplex ❑ADU ❑Multi-Family-#Units: ❑Commercial $Accessory Structure Type of Project: New ❑Addition ❑Remodel ❑Repair DT.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Ze 0- 7 v-e pia,,, ,• �/ s h.,�A,,.-/- C b S tau ,% *�I vvul `4 , eir>t ✓ t. ASSOCIATED BUILDING PERMIT#(if applicable): A ,,: ,-,- 1 ;y - y; ; MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture List of Fixtures Fixture Fixture Fixture Count Count List of Fixtures Count List of Fixtures List of Fixtures Count A/C—Air Handling Units Gas Piping" Backflow Preventer(Inside Bldg) I Shower,Tub,or Combo Boiler GasRange 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 Exhaust Fans(Residential) , IA t Commercial Ventilation Floor Drain Toilet Exhaust Hood(Type I) • 4/f+` (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II)/ Atji J 3 Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) 1 Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Firep ce/Insert/Log Roof Drains Water Heater SPRI LER/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.lam the owner,or I am authorized by the owner of this property to perform the work for which application is made, and l comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only r A % PERMIT# 0Authorized Agent Signature Da (Revised 4/15/2019)