1804 HEWITT AVE 2022-05-12 - Laserfiche WebLink

grr • PERMIT APPLICATION 411) BUILDING / MECHANICAL / PLUMBING /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) f ' ,, PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 19 O -i �C-W l tTT,,c �/Ave PROPERTY TAX#: 00 �' K �� 5 b 300 c LEGAL for new construction: Short Plat/subdivision tQ L-K L.u' y "97-6(.; Lot No 1?7 tattach copy of long legal description) I, CONTACT INFORMATION OWNER NAME: N E kk) 1-4t()L -44/ e 5, LL-L. TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET VC 4 3)( \ 2 .o .7 7 CITY E v t e. t-k- v% (k STATE 1'. ". ZIP o U - -OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: -- 1 C 0(4,.- '(-- M-e- Gl-(1 \ (�f CONTRACTOR ADDRESS: STREET \f CITY y LV(—W STATE w Ok, ZIP CI, ° 1 CONTRACTOR PHONE: ��//�� CONTT /J EMAIL: �D0 G3 ( CONTRACTOR LICENSE#(REQUI ED): ei\ L1"I �l S_.S/�i'' (/�LCI OF EVERETT BUSINESS LICENSE#(REQUI D) ��(03_/ PRIMARY CONTACT: ❑OWNER NTRACTOR �d OTHER(P se Specify) CONTACT NAME: I CONTACT PHONE: Li ZS - 0 L- 003 9 0 a l ( Q_, A e) cxxd-(.( CONTACT EMAIL: H-abGt e S old/ 1-- ,V:(I Iw'n cct It✓(a.t'l .,01 BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$ 55,O a-O Proposed Use of Building: ��// Heat Source: ❑Gas L lectric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU L�Multi-Family-#Units: J ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition 14Remodel ❑Repair ❑T.I. ❑Sign DSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: K�C 1-0 i Q ��r 5T( 4-1 a 3S wn i \-` Cca, - n �-- 1pt. ,I,A,c J F. J ill ASSOCIATED BUILDING PERMIT#(if applicable) �j 1 `p 0 .o —01 S MECHANICAL PERMIT APPLICA ON P MBING 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 Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) ✓/-1 Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Z„Li Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Z Water Heater Interceptor-Grease Waste/Water Piping Repair ?75 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 'NJ. o.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 Q 1‘2 P el 0a3 Owner/Authorized Agent Signature Dat (Revised 10/10/2018) (7ç)