3814 HOYT AVE A B 2022-07-20 - Laserfiche WebLink

PERMIT APPLICATION• BUILDING I MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES OLT 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) `CPROJECT SITE INFORMATION PROJECT SITE ADDRESS: 3F/ ( 1f 47 --Ale; Fc,i 4t 91101 4+13 PROPERTY TAX#:6 ill o 6 I1a tJ' LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: 3/r f4 44.0y 1 4L a, L.( G TENANTA NAME(If Commercial): f'. I, W OWNER MAILING ADDRESS: STREET I(' ( 1Lj I f2,ff CITY L y i Liao/ STATE I.✓-4. ZIP PP 27 OWNER PHONE: Z GG --us-$7 -770 I OWNER EMAIL: 4 Acj, .ale 91f& a�r.,�,'(.G sh, CONTRACTOR NAME: L eAp'l:re4e, Ci&),r1.kG ! °h LL J CONTRACTOR ADDRESS: STREET 777 S rly.r{.S f1i p 1 bp►. #,�/y 7 CITcT Pity b -p ✓ STATE �4 ZIP of 4.73 CONTRACTOR PHONE: yh.S-o?O—0250 CONTRACTOR EMAIL: bN 4.44.? 4 Z e.e- 4(� /�'Asi or,1.C Of� CONTRACTOR LICENSE#(REQUIRED): L F�A 1) 1�. 17 2.07 CITY OF EVERETT BUSINESS LICENSE#(REQUI�RJED): PRIMARY CONTACT: ❑OWNER BI CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: G -LS=d 7O— O3 f"'D ✓41 RZ�ik 4 CONTACT EMAIL: bill QiY 7. 44 lc q y ".`i7.cdti, BUILDING PERMIT APPLICATION Existing Use of Building: Sfi R Contract Price of Work:$ Z37foi e a 0 Proposed Use of Building: 2 A 04179 C. A,f_f Heat Source: Gas DElectric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached [Duplex EIaMulti-Family-#of Units: Z_ ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel DRepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Pot.:( J ',eh/ Jt p/G� •-2_f k7, ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump rp Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater L.( Bathtub Urinal d' Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain a er Refrigeration Shower Floor Drain 2 Gas Fireplace Wood Stove Z Kitchen Sink&Disposal Grease Trap Gas Range Ducting 2 Dishwasher Roof Drains 'Z Clothes Dryer Hookups Other: t. Clothes Washer Medical Gas Z Range Hood Water Heater Other: Exhaust Fan 2 Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water I 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/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 Owner/Authorized A t Signature Date (Revised 9/23/2016)