2616 HARRISON AVE 2022-06-28 - Laserfiche WebLink

= PERMIT APPLICATIOft is BUILDINAECHANICAL/ PLUMBING/SIGNRINKLER/ 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:7 l t"'71 IS(�7 /1 v/ ►,rar h�t r r.''SCE I PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) ;CONTACT,INFORMATION OWNER NAME: I 4j,y7/' ( l</j ett:> C) 2 TENANT BUSINESS NAME(Commercial): , OWNER MAILING ADDRESS: STREET)6"/b i /Aif,S CIYe <'k J C ,�y 1 / �J CITY f t,fie,- -j (,kl,J STATE L.(g/) ZIP C/53T2 c( OWNER PHONE: c% - l+ J ` OWNER EMAIL:,✓ic f h ,)1 of R .r t ,,,,;„r•' (Ar ko a.e Jilt-- CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: WSJ OWNER ❑CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 20 aver / g 0 05 / 15�7�R CONTACT EMAIL: u�� 22 d 1 f. �I•t!/�aLio,G,/f.L ... .. :BN .. '.ILDING llNP©RMATION ` . . Existing Use of Building: .!fncj,i„ err ci,r rJ 5 f K Contract Price of Work _ 3 , Proposed Use of Building: ( yrr-,r �rs.i%�l raze_-f?$fR Heat Source: f[Gas Electric Other BUILDING USE: VISFR ❑Townhou ❑Duplex ❑ADU ❑Multi-Family-#Units: !Commercial ❑Accessory Structure Type of Project: El New ❑Addition CaRemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DEsS6,RIPTION OF wnPk• 4,1 A a_) ASS&C:...._..i UILOING PERMIT# if a r1 . :MECHANICAL:PERMIT APPLICATION;;; PLUMBING PERIYIITArr-._,. iO,N Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures NC—Air Handling Units ---I 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 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/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 confine 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 lam authorized by the owner of this property to perfomm the work for which application is made, and I comply with the State C tractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 0,14 0 / 7, PE :J -4/1-?(>-"---- -4/fel,- .0 ._..-15---- 14kM7130; --0(14 Owner/Authofized gent Signature Date (Revised 4/15/2019)