421 ROCKEFELLER AVE 2023-05-31 - Laserfiche WebLink

PERMIT APPLICATION MI BUILDINGINECHANICAL I PLUMBING / SIGN IVPRINKLER 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 I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: q 1 Zuc(Pe f e i le J A-t!6 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision `� to t I% Lot No. (attach copy of long legal description) CONTACT INFORMATION . OWNER NAME: 14-CitG,CV. Sa+1,e3 \m TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET ST,a 01.' P‘. AJ CITY MCA is AS V t \‘e._ STATE WA ZIP 1 S 2 76 OWNER PHONE: OWNER EMAIL: ;cam.`Q hCIytk brtAllef3 ,co vM s _ CONTRACTOR NAME:1-�QC) 1,c 13r0A-hers 1-Io ma- CONTRACTOR ADDRESS: STREET 39 2 Z s--1 AN ,4 M G CITY MC\'( SV,1 t, STATE w q f ZIP 1€2 7 6 CONTRACTOR PHONE: Lin-2aO-2`i 2 4 ` � CONTRACTOR EMAIL: noel(?hu0.Ck bfo he VS,c n CONTRACTOR LICENSE#(REQUIRED):t.}Cmck 8.101 asyz_. CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):05-39 tD 7 PRIMARY CONTACT: 0 OWNER 'CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: LA 2 S'- ?AO- 2`.1 a 9 .ae\ C c Z CONTACT EMAIL: J oel t,h ccackbr'o#hers, c Or✓1 BUILDING INFORMATION 1 , Existing Use of Building: Contract Price of Work:$ HSo 1< Proposed Use of Building: s Fp_ Heat Source: NAGas ❑Electric ❑Other BUILDING USE: IAFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: El Commercial ❑Accessory Structure Type of Project: ipNew ❑Addition ❑Remodel El Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition OChange of Use DESCRIPTION OF WORK: S E c,-d v\-1r, ache a Ic-kroty e 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 41 Gas Piping Backflow Preventer(Inside Bldg) Y Shower,Tub,or Combo Boiler / Gas Range / Clothes Washer Sink-Commercial(3-comp,prep,floor) i Clothes Dryer Heat Pump&Ductless / Dishwasher 7 Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain / Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatior Floor Drain 4/ Toilet Exhaust Hood(Type I) (Not Heat/AC system) b't 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 Systems Other: Medical Gas Ives or Fixtures f Gas Fireplace/Insert/Log Roof Drains _Iia eater SPRINKLER/SUPPRESSION SYSTEM Sewage 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 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 Contractor aw 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 6 - 17-20i° PERMI 2,0 ni _ no 1 Owner uth ed Agent Sig -1 a Date (Revised 4/15/2019) Criz)