1705 WETMORE AVE 2022-05-10 - Laserfiche WebLink

® PERMIT APPLICATIOlk lc BUILDIN ECHANICAL I PLUMBING I SIGN WPRINKLER I 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: I --T.05 Wes. ©Ise 4 Vt. Eve`elf- PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: lJJ2-b VlO'r [14`, 7 1_46' TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET Po gok '/ `J CITY I I l I 604 d STATE 1A ZIP 676v � 3 1 OWNER PHONE: �� —C9�� 7j c� OWNER EMAIL: t'r i`/Atei i i/ C-C),v► CONTRACTOR NAME: (.��y`�T 1/ nn itl V 5 I��C CONTRACTOR ADDRESS: STREET 2 D. F. etJ �Y l 16 CITY V- [4 I(1.G STATE L�,'!1 ZIP Gig)$ CONTRACTOR PHONE: (,L. -jGj —1535 CONTRACTOR EMAIL: l 'f[I-f 04e C 'h/1q I�1.a1 M 1 ( 111� , CONTRACTOR LICENSE#(REQUIRED): (k�y6 �l !'p S 71-6 CITY OF EVERETT BUSINESS LICENSE 4(REQUIRED): 3611 PRIMARY CONTACT: ❑ OWNER ❑'CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: Alj(.'�Gtr-( S(\r\I CONTACT EMAIL: �-ye c' t?1 i/: ffC 0 e\i r le I i -'O ill J BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$ h )u/6) : ()0 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse El Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. OSign ❑Sprinkler Demolition ❑Change of Use DESCRIPTION OF WORK: D 0 (s I ..6(15—FrA/ ok _ ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING 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) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair 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 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.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 � ��/ �' PERMI ,,. /'. r; ..,/ .„, .,,,:-/, Z-/262/) ,1 /7 -1 7-- 50-2 Owner/Authorized Agent Signature ate (Revised 4/15/2019) r �,/Zi