8522 9TH AVE SE 2023-04-07 - Laserfiche WebLink

PERMIT APPLIPERMITCATION 047.7. BUILDING / MECHANICAL/EVERETTPLUMBING / SIGN / SPRINKLER/ DEMOLITION CITY OF SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 I(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:8 ZL c1 i A✓i7. L 4 1 vt?re I-J j,,,4 9 40s PROPERTY TAX#:CO--1 0j 0;(•5 000002 LEGAL for new construction: Short Plat/subdivision C OOCA- MT Vie w Lot No. 6 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: C 1 C`r K NW 1 TO✓t TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2 •J L L 41 +`I Ave i ' CITY L V Q re ft STATE WA ZIP G) L 08 OWNER PHONE: r/ G - S— G) 3/1 OWNER EMAIL: C I L.('lL Nam'I c0 1 P -6,0•1 f, er. Z c -'7 CONTRACTOR NAME: (/,tA' !(/ L�� v,a 6241 j/(./'it- S L', CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: ^ CONTRACTOR EMAIL: '/ CONTRACTOR LICENSE#(REQUIRED): C'�t v"'1 -L i ('V) %] ?„,e- // CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):01;,5 3 74' PRIMARY CONTACT: [4 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: �" CONTACT PHONE: `/Z s_ 3 SS' 9 3 , CI“rK- Jg,( cc?n CONTACT EMAIL: CiI T K — pVe,l•Soi+ Imo.,cro•d et, L.v,..--) BUILDING PERMIT APPLICATION �,� Existing Use of Building: t..i..• LG . Contract Price of Work:$ �� DO, Proposed Use of Building: Si • k,(- :.,,h;` INS '(�, Ai)() Heat Source: ❑Gas ❑Electric DOther 7 Building Type: DSFR-Detached ❑SFR-Attached Ell Duplex ❑Multi-Family-#of Units: DCommercial ❑Industrial Type o'Project: ONew ❑Addition El Remodel El Repair ❑T.I. ❑Sign OSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: A 1 U Gvi't✓ C3'wr„3e. <�dd i 4-,c7✓1 ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures 1 A/C-Air Handling Units / Heat Pump I Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler 1 Lavatory(Wash Basin) Drinking Fountain E Water Heater Refrigeration ( Shower Floor Drain I Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains ) Clothes Dryer Hookups Other: i' + Clothes Washer Medical Gas i Range Hood Water Heater Other: fExhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM 'Number 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. City of Everett Official Use Only 0\/' i PERMIT# 1 M/ '1----- LI / i i L ' (P - 7Owner/ uthorized gent Signature Date (Revised 5/20/2016) • 1 111)