2815 17TH ST 2022-07-13 - Laserfiche WebLink

• PERMIT APPLICATION 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 1(E)everetteps@everettwa.gov J www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: Z c/f' PROPERTY TAX#: 0O6,OX 0300 R-c,a LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: * , / ,Z r S TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET / /771 CITY £l/—r!/'-C..74L STATE44-***-14- ZIP 7,Z OWNER PHONE: 4 2 Zs Z.^'Z. $ 7 OWNER EMAIL: kiA r�A4 !� �4, r , 6,Ovv1 CONTRACTOR NAME: Z0 "Z5 0 CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: gr OWNER 0 CONTRACTOR 0 OTHER(Please Specify)CONTACT NAME: CONTACT PHONE: <, z S� Z 9 Z'--d'Z 8 f CONTACT EMAIL: A 4-eSAI L �/+�t c C o 17 BUILDING INFORMATION Li Existing Use of Building:Pit jtta J?—c(irc�-L- Contract Price of Work:$ I/2_,,? 0 Proposed Use of Building:Aim, I rrr��ti Heat Source: ❑Gas AtElectric ❑Other BUILDING USE:JIRSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition RRemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: / I 1-/ f i�'• / �l`L'/�/l li/ti U✓t c( l lI S/4 �G�'' /'L � �r7�1'�"/@/t �A 4/', i"l///�//rG�i cr) IC C®`KC Sit/1�' QK rif celop 4,4 3,1' C SI��Y __/c-o kl�eti e l�s l GS t e- /J v`i-8- -"" A7 U" S�+-ru Cam- Z �JZ�i'QO.+z , ASSOCIATED BUILDING PERMIT#(if applicable): / / O Z - U 75- 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 A. j 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 I 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 PER ��O3 `co Owner Authorized Agentg Signature Datee Revised 10/10/2018)