3711 SMITH AVE 2022-05-24 - Laserfiche WebLink

• • MINIMPERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING /SIGN I 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: 3 71/ cYn-i'7 /9ys- 4--"(ic/t 4.0 PROPERTY TAX#: G O.576 OO/9G oc.) I LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: TENANT BUSINESS NAME(Commercial): j1//to/. bevel f t'rsi )i OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: 1, /� OWNER EMAIL: CONTRACTOR NAME: 410/ P/071/the CONTRACTOR ADDRESS: STREET /7 3-?y J/t ST SE' CITY /22 Ii re,C STATE ZIP CONTRACTOR PHONE: 3 G O ^?97 -16.2/ CONTRACTOR EMAIL:/ CONTRACTOR LICENSE#(REQUIRED): 410(/L/p 10 3 3 C CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 3..26.S/() PRIMARY CONTACT: ❑OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 4/d 5 3 8`7 _7 t /cc 147.9 Un 2i yA79 CONTACT EMAIL: /7),/,'K BUILDING INFORMATION c� / /Of7,o• Existing Use of Building: SA ci Contract Price of Work: $ ,!! Proposed Use of Building: SA l Jl Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex EADU ❑Multi-Family-#Units: g ommercial ❑Accessory Structure Type of Project: ❑New ❑Addition 26emodel ❑Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: / / hi / ��/ ern-0G1e( 17rq 4a %60ac 27 7u /( �'`�q 4/ ,Qlvro-t4, ASSOCIATED BUILDING PERMIT#(if applicable): U 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 3 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)j Commercial Ventilatior 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/InserULog Roof Drains Water Heater SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System I INNo.o.ofof Heads Chemical Suppression System 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 PERMIT#, 7 /� 76i0 -7 .,o�;3 Owner/ thorQ2- ent Signature Date (Revised 10/10/2018)