5426 SEAHURST AVE 2022-10-07 - Laserfiche WebLink

PERMIT APPLig6TION 12 BODING / MECHANICAL/ PLUMBINIGN / SPRINKLER/ 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: 'i 411t2 Q. PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: 4r — TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET -.,J' 4j -c;--A4i ill/� �"y/�� CITY STATE N • ` ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET 114 1 �� q CITY 5'�( ) `, Alt t % STATE �'�,�; '" ZIP C�2-`� • CONTRACTOR PHONE: .- Cob 6 ` (}Lei I CONTRACTOR EMAIL: '—r--�1J�J .c 't,Lt)t v,t, tl2)v'v\ CONTRACTOR LICENSE#(REQUIRED): n) kat)Oted,i411.00 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 5 S 2.1 i PRIMARY CONTACT: 0 OWNER 6ONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 42, -- L-z - 4---1 s9 • ��2,472-1/ 144 " CONTACT EMAIL: •-"--1— (1? i` BUILDING INFORMATION Existing Use of Building: LAVi, Contract Price of Work:$ 1T5 . Proposed Use of Building: ft 14 Heat Source: ,Ek6 as ❑Electric ❑Other BUILDING USE: FR ❑Townhouse ❑Duplex ❑ADU ❑Multi Family #Units: ❑Commercial ❑Accessory Structure Type of Project: New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION� OF WORK: v 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 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/InserULog , 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. e City of Everett Official Use Only s" 4444 to (� ` , PERMIT `) F 0(.0r,, /t'� I V Owner/ uthorized Agerit Signature Date (Revised 10/1 /2 0 11 88))(/l•�/ (� l / i /Z