2408 RAVENNA ST B 2022-07-21 - Laserfiche WebLink

® PERMIT APPLICATION Alik BUILDING CHANICAL I PLUMING /SIGN I SPRINKLER 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: �4/�j( (},/.6nr,✓A S- ,_.,1)�,os (a)4 9 g-r2t73 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: H iLOi4 k. flit f2,i i LI L t Oi-t Id 7. I-I Frrc i i TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS 3STR�ET�. F; r`��° *r L(pg j�q��,,,r�a Cr.) E �c-,P&Trt I�:tl c9, Zc3 CITY STATE ZIP lob.- 75--91.-ie uot 304. J15-- OWNER PHONE: ttaA- Lt*..-D., 4-- I1'Ti 6'71q OWNER EMAIL: tt &CS 4 14is e C.veci+-Ic-, 64:1-, CONTRACTOR NAME: OwAi/tr CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: Pr-OWNER ❑CONTRACTOR 0 OTHER(Please Specify) r CONTACT NAME: '1t�`1-A/'a,r_.,«' 6.1-x��-r-. :,CONTACT PHONE: -A_.?�L, 1'13--f t,,'j 6'74 3e,f _37 7 7n CONTACT EMAIL: (/16L.5/-//-{ /a r l ,r+r/.(2_6,tr, BUILDING INFORMATION Existing Use of Building: 'Si�'J -i FtFrti,i-f Pc.-cl z6/;c Contract Price of Work: $ i l�� Proposed Use of Building: :i' w/ /1-pi-+ Heat Source: $Gas 0 Electric DOther BUILDING USE:' SFR ❑Townhouse ❑Duplex PADU El Multi-Family-#Units: ❑Commercial DAccessory Structure Type of Project: El New DAddition MRemodel El Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK:10x11i/�-(4r,Ai / k) L-r=.rf-c- -re A-Dm_ . C-Fiodaila basrfiwotO 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 I 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 r 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 PERMIT# ner/Authorized Agent Signature Date (Revised 4/15/2019) h ' \