6402 HIGHLAND DR 2022-10-28 - Laserfiche WebLink

PERMIT APPLICATION . BUILDINGIECHANICAL/ 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: t5 V4:22 4 G q/!f� ©,' Sc PROPERTY TAX#: ©©5.w7 2S cO 3co LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: /G'©AZ ///e/' '1 ©...e/G6 TENANT BUSINESS NAME(Commercial): �/i9 OWNER MAILING ADDRESS: STREET 632:52 /Gr-/e-4 4"-2K 44714rU'-T � e%r CITY STATE �/1/ ZIP 9g Z.o3 OWNER PHONE: 47/25' 3 Y3— Vr2 3 OWNER EMAIL: /‹..0.e/G4(••• /, VE•cc>�Jl CONTRACTOR NAME: 'w'' CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 5-OTHER(Please Specify) / /2C-4-'er y 5 9Ot'/z '4 CONTACT NAME: / <c 2// I/-0°3.0)s.€V/? CONTACT PHONE: 2"06 2 YO - 3 49 CONTACT EMAIL: /5 4reiv" t,Y CA Y9�jo4 BUILDING INFORMATION Existing Use of Building: >c/e Contract Price of Work:$ '2 SD, 000, 4.0 Proposed Use of Building: S�'� Heat Source: EIGas ©Electric DOther BUILDING USE: SSFR ❑Townhouse ^Duplex `�ADU _Matti-Family-#Units: ECommercial !'Accessory Structure Type of Project: KNew ❑Addition Remodel `iRepair L.T.I. ESign i !Sprinkler i? Demolition ❑Change of Use DESCRIPTION OF WORK: ^x/S77,7 /-104 S'rr?C - i3� !)�'�-7 3viLr,� 2 5 T©.er �/Ovj� h-,-'T// ,977--9 -' - 9' cz r re,77.-4 C 2 i ;.' -7 G. /LP,Q 3 8/7 sqf- 5%3eo,ce,o,t-7S 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 — ackflow Preventer(Inside Bldg) `•-/ Shower,Tub,or Coma Boiler / Gas Range 2 CI es Washer -- Sink-Comm ei1(3-comp,prep,floor) 2. Clothes Dryer / Heat Pump&Ductless / Dishwa r '7 Sink- idential(kitchen,bath,bar) -- Duct System(Remodel) 1 Refrigeration -- Drinking Foun / k-Utility,laundry,mop ,9 Exhaust Fans(Residential) Commercial Ventilatior _ Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) 2 Hose Bibb Urinal Exhaust Hood(Type II) 1 Water Heater — Interceptor-Grease / Waste/Water Piping Repair -- Exhaust Hood(Residential) -- Wood Stove — Interceptor-Sand/Oil I Service(behind meter) — Forced Air Systems Other: — Medical Gas Water Va or Fixtures Gas Fireplace/Insert/Log Roof Drain ' / Water Heater SPRINKLER/ SUPPRESSION SYSTEM Sew 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 taw. 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 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAG. City of Everett Official Use Only / y/doao Pj # � a� Dcpi Owner/Autho Agent Signature Date (Revised 10/10/2018)