4934 VESPER DR 2023-05-22 - Laserfiche WebLink

IMIN PERMIT APPLICATIOlk izi BUILDINOMECHANICAL/ PLUMBING / SIGN PRINKLER/ 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 P ease) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: ' el 2.�i ' 3 { �L_ � �(,V� PROPERTY TAX#: MA 11460 /9 3 t LEGAL for new construction: Short Plat/subdivision __ Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: __IQ'O J TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREETII—CI 3Z( v 'i 1), -k.v -5‘,I ; — CITY kvt -- -- tNtd& 1 \. STATE ZIP clE)213 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: ll) ,J1 1,1 � CONTRACTOR ADDRESS: STREET 1 -17—-3 1 c--D` . : CITY (,'Vl/ ) (i\A" 1 liC Ak STATE C8 -2.,Ci�j ZIP CONTRACTOR PHONE: 5(c,CJ' (c-bP , CD lC2( t CONTRACTOR EMAIL:. 0.(Z E K1 W Q ED,�_bVt"\ CONTRACTOR LICENSE#(REQUI OS,) ri I OF EVERETT BUSINESS LICENSE#(REQUIR ):,�1 � ' ` PRIMARY CONTACT: 0 OWNER CONTRACTOR ❑OTHER(Please Specify) O I 0, 9; 1� CONTACT NAME: ``�� rrf�-�> CONTACT PHONE: -Z .j)_ C st'7 C�t91 Quacul_c___. ,c,, ,,ti(-)I� �C_ CONTACT EMAIL: ��1:�'I,V l` tV W j 10 ,covo BUILDING INFORMATION . Existing Use of Building: E2--- Contract Price of Work:$ ��_ram d 5S t�(,p Proposed Use of Building: ,flit Heat Source: Gas ❑Electric ❑Other BUILDING USE: SFR ❑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: 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..'-am 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 Systeprs _Other: Medical Gas Water Valves or Fixtures Gas Fireplaceil'nsert/Log Roof Drains. Water Heater SPRIN ER/SUPPRESSION SYSTEM SewaEjector or Sump Pump Other: Water Suppres ' n System No.of Heads ��; Chemical Suppression System - No.of Heads ACKNOWLEDGEMENT:I have reviewed this application and confirm the informati0"n 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 t State Contrectors Law 18.27 RCW and 296.200A WAC. /'fl�/�� /� �/ City of Everett/Offfiicial Use Only i \lq 2.,(-, Owne/Authorized gent,Signature Date (Revised 4/15/2019) l2-