6402 HIGHLAND DR 2022-10-28 - Laserfiche WebLink

PERMIT APPLICATION. BUILDING MECHANICAL 1 PLUMBING I SIGN I SPRINKLER I DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTO.N (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa,govtpemilts (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: FJ Y/49Z /lr it q/� Ste. PROPERTY TAX#: G'12.53f7©0S9b•°o LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) // CONTACT INFORMATION OWNER NAME: /�'0/C /;('//t/i''t! 4=',€/C4 TENANT BUSINESS NAME(Commercial): �?7#` OWNER MAILING ADDRESS: STREET 6-, '$ , 12 ' 4/27.'".49K' f.e."-eA'e cm i STATE 1 V ZIP 99 Z03 OWNER PHONE: '7' 3 Y3- 5,147„3 OWNER EMAIL: /;'e.40.e,G4 CONTRACTOR NAME: e,e-e" CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: El OWNER El CONTRACTOR MOTHER(Please Specify) /g/2 -"-"°- ' V SS126•9Z3Y' .t' CONTACT NAME: /,52-�cfl1.--' y."? CONTACT PHONE: Z06 2 Y'o -73 49 \CONTACT EMAIL: YS 4 si vA2 BUILDING INFORMATION Existing Use of Building: SG/C Contract Price of Work:$ '2 523.c'e="‘P• `'c' Proposed Use of Building: -C"4-'e Heat Source: Gas DElectric DOther BUILDING USE: igSFR LlTownhouse ❑Duplex ❑ADU _Multi-Family-#Units: ❑Commercial [_Accessory Structure Type of Project: KNew ❑Addition ❑Remodel ❑Repair CT.1. ESign DSprinkler !Demolition ['Change of Use DESCRIPTION OF WORK: c 5P .9 .Yovse Srt."9-4G /s'� p.EA Oe-/: igviLq' 2$r^P.ey ,Yav1 E �,'T/.- -277,9 G.,`-/'e-e;,'' i 67y 4 G Ce2 Q'/%i.^..7.vc. /4-2 e,Q-. 3,9/7 s- 4= S/3�o,‹ c:,' 15 ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixt es Count List of Fixtures CountList of Fixtures A/C it Handling Units Gas Pip' g — Backflow Preventer(Inside Bldg) / Shower,Tub,or Combo Boiler /' Gas-Range 2 Clothes Washer Sink-Commercial(3-comp,prep,floor) '2.. Clothes Dryer j / Heat Pump&Ductless / Dishwasher '7 Sink-Residential(kitchen,bath,bar) Duct System(Rem Refrigeration — Drinking Fountain / Sink-Utility;laundry,mop „9 Exhaust Fans(Residentla Commercial Ventllatior .r Floor Drain g Toilet Exhaust Hood(Type)) � (Not Heat/AC system) Z Hose Bibb Urinal Exhaust Hood(T e II) I ',Water Heater — Interceptor-Grease Waste/Water Piping Repair — Exhaust Hoo Residential) Wo Stove — Interceptor-Sand/Oil f Water Service(behind meter) --- Forced ' Systems Other: — Medical Gas — Water Valves or Fixtures Gas replace/InserULog — Roof Drains ! Water Heater S INKLER I SUPPRESSION SYSTEM \ Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System No,of Heads t 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 t 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 WAG. City of Everett Official Use Only / y o a o PERMIT 03 � � OwnerlAuthC.K.40/tis„do Agent Signature Date {Revised 10/10.'20;8)