6402 HIGHLAND DR 2022-10-28 - Laserfiche WebLink

PERMIT APPLICATION, BUILDING MECHANICAL/ PLUMBING I SIGN/SPRINKLER 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 www.everettwa.govtpermits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 6 5.142 + A2/e Ste' PROPERTY TAX#: c 17 'S/74:OS�5 op LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: !�G'0/C // /e't41` e67.4),4e/C4 TENANT BUSINESS NAME(Commercial): 47/`,�` OWNER MAILING ADDRESS: STREET H-3Z9 146. -7Yl �t'v G 470AF 14''t%''8 et:, /e / ' CITY STATE ZIP OWNER PHONE: el5 3 Y3— "r v`JS OWNER EMAIL: /:'.47,e--.4 /"`" G' . CONTRACTOR NAME: te-r..-" e.,<- CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR IROTHER(Please Specify) ,9/2e-11-S',v43/D YS.,`r''`51,0 viz,s4.9 CONTACT NAME: ✓/4--6CPL, /-zr."9,0 i€yier4 CONTACT PHONE: Zo6 2 co 49 CONTACT EMAIL: /5 BUILDING INFORMATION Existing Use of Building: >G' Contract Price of Work:$ '2 54 '° '. o ' Proposed Use of Building: --C"c-R Heat Source: EIGas DElectric DOther BUILDING USE: ®SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi Family-#Units: Ecommercial EAccessory Structure Type of Project: Ktew ❑Addition• LiRemodel ❑Repair CT.I. ESign ❑Sprinkler Eg Demolition ❑Change of Use DESCRIPTION OF WORK: /Sy7`,7 /rfp - S#'i..- � E �EyJoGi S� /g!/i47/ 25io/r r-/e7e,-re /1.'I'T/7- ,977-9�h'�4� cc-792.¢6-6 jaTi4G COwCYi:%ib�l-SG �/2e.¢- 3 8/7 sqt= 57/5,e,c7,e4c, ,4.7.5 ASSOCIATED BUILDING PERMIT##(if applicable): EA10 C \/\) (s 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 Fixes C—Air Handling Units as Piping — Back Preventer(Inside Bldg) xi' Showe Fu r Combo Bol �/ Gas Range 2 Clothes er — Sink-Commercial(3-comp,prep,floor) Clothes r // Heat Pump&Ductless / Dishwasher 7 ink-Residential(kitchen,bath,bar) — Duct System(R el) "" Refrigeration Drinking Fountain �-' Sink-Utility,laundry,mop .9 Exhaust Fans(Resid fialj z_ Commercial Ventilatior Floor Drain � ' ' Toilet Exhaust Hood(Type I) (attisatAC system) 2 Hose Bibb , Urinal -- Exhaust Hoo type II) I Water Heater — Interceptor-Grease — Waste/Water Piping Repair -- Exhaust od(Residential) --- Wood Stove — Interceptor-Sand/0' ! Water Se'rvica Jbehind meter) Forc Air Systems Other: — Medical Gas — Water Valves orixtures s Fireplace/Insert/Log Roof Drain / Water Heater #RINKLER I SUPPRESSION SYSTEM Sewag lector 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 ROW and 296,200A WAC. City of Everett Official Use Only o..g/ 9/ a 0a 0 PERM# ��W l D� I er/Authori gent Signature Date (Revised 10/10/2018) I/ Z