3821 26TH PL 2022-08-12 - Laserfiche WebLink

� PERMIT APPLICATION BUILDING , ECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 {(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 3 2_ °` '(„ $ v " ; i, PROPERTY TAX#: /o LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: A-Aro 14esi\Akv CJ TENANT BUSINESS NAME(Commercial): `"- J .L c"_t ('ic t- j {ry OWNER MAILING ADDRESS: STREET 3�Zl 2{� ` Pi. 1 CITY eVe,)^e}k STATE :- ZIP q g--2ti OWNER PHONE: q2.5--- —DSO )/C' I OWNER EMAIL: CONTRACTOR NAME: LtJ f2G 1.C`'t-Y3 .1. A(C CONTRACTOR ADDRESS: STREET "Z I tt2- t c CITY LUt'^/IT STATE t'L' ZIP CciL�j CONTRACTOR PHONE: ZS 2.5 2 - 3i/1-1 CONTRACTOR EMAIL: 71.4 XL--ir,'?,ci vt;A/Pt r .41 CONTRACTOR LICENSE#(REQUIRED): t v 2t_C:5 02 2.:; CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 00 PRIMARY CONTACT: ❑OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 2 5,2 > pGtyY,.e. CONTACT EMAIL: +,2i . 3 E' r ';si t•� BUILDING INFORMATION Existing Use of Building: 7 Contract Price of Work: $ •f • Proposed Use of Building: Heat Source: ❑Gas @Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi Family-#Units: (Commercial ❑Accessory Structure ❑Type of Project: New 2/Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: 'J t c,s s > Wt to s-�e(� ry e t t.r ^dol. szt t a (/ 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 i 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 INo.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 1 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 (7) // 7 / 2/ PERMIT# M 1 0 3 ' 0 03 CrcerlAuthorized Agent Signature Date (Revised 10/10/2018) II Z