3201 SMITH AVE BASE FILE 2022-07-28

PERMIT APPLICATIO ELI BUILDINt ECHANICAL I PLUMBING I SIGNRINKLER 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: 320 1 6NJTh AVE t &&RETT, IdA PROPERTY TAX#: C01439O 7'4'-IO 13pcc LEGAL for new construction: Short Plat/subdivision 44$44)1 Lot No. (attach copy of long legal description) CONTACT INFORMATION - OWNER NAME: (Jim/ oP EVERETT TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 3200 iG DP&. ! I r VIA CITY e Vg l�Tr STATE ZIP 422.0 1 OWNER PHONE: (1-1 2.6) 267-72A 14 OWNER EMAIL: ak,tirA e/W e r ef-t-�g• cpi CONTRACTOR NAME: ILIA[A/ r�L )wi�) It�JArrtoiu 6 CONTRACTOR ADDRESS: STREET] g I v2- 514 51€ As✓E tJ U e_ CITY 4, 4��1P'L'QC)P STATE \ /A ZIP GI g • 6 CONTRACTOR PHONE: (�53) 321-32.9 �I CONTRACTOR EMAIL: 1r V CONTRACTOR LICENSE#(REQUIRED): LEEiP e T-Lc21 ILL CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 0L32•& 4 r PRIMARY CONTACT: ❑OWNER O CONTRACTOR MOTHER(Please Specify) Aeta-c- C`O1NTACT NAME: ERA Co 61AD CONTACT PHONE: 10) G' g„ et0+7 7 ►for-TIAViejr ,/Eck Gl4414 • CONTACT EMAIL: eit1Cs•Ji ‘IAa144 g C.VMAc.s-A% • CO11k. BUILDING INFORMATION Existing Use of Building: %O S L TRprc 6,1 p N Contract Price of Work:$ i (0)t O - ,Z) Proposed Use of Building: 1,10 vp 4kE Heat Source: ❑Gas ❑Electric DOther BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units:Wak Commercial ❑Accessory Structure Type of Project: ONew ❑Addition )Xj2emodel ❑Repair ❑T.1. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: 1.446TAI`L..i-vo ( ) OpT1 1..- RsQE'ATe i-o life 114tL=R1o12> F.,0440:stlE6 crF T ()PP M- 9 00 f UvktE[Jlt'PaL>tGPr L A-E s (E'P 1 i \JE4r Roe-A . i14 Ntoto 1T1 k1) 0).16 (I)ViAr..L-rviau to Eat)tp M.J r 4Arb%sET /% LL Cie Iris-c U ED 11.4 I4 Ormu'Ry ASSOCIATED BUILDING PERMIT#(if applicable): 204'b 4 oi..S rite E? f r tic 11kt LaAdeP LEVEL . 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 NC-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 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 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.lam the owner,or lam 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. e (� City of Everett Official Use Only !V .20 PERML3 e, it_ u2ei Owner/Authorized A t Signature /g tun3 Date (Revised 10/10/2018) yz...,