2405 MAPLE ST 2023-06-28 - Laserfiche WebLink

= PERMIT APPLICATIO la BUILDING ECHANICAL/ PLUMBING /SIGN / RINKLER/ 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: 2_14 b 5 /tIaç9/c- 3*f�� PROPERTY TAX#: Zi61D6Z-000 4/047 9 D 0 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: V1/4/ejK({y It O b ©fL TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET I o�/-- Zell A-ve, 5,0 CITY S STATE 104 ZIP 76. i 41 b it OWNER PHONE: (9'636.-6310 OWNER EMAIL: (,(f-L'n6/ l- £ a / 6ci'i',GO CONTRACTOR NAME: 6h ri 5ei,I I S ' 4]/ ,t-S,L1-6- CONTRACTOR ADDRESS: STREET e 0 Boy_ z'( i' _ /�� O Q CITY �i`�"6�� STATE "1/ ZIP V� CONTRACTOR PHONE: it 26:--vt,g"6f 356p CONTRACTOR EMAIL: ,j G erie/pi e Mai(I. CO - ?p CONTRACTOR LICENSE#(REQUIRED): G 3. '-$,8 75 CITY OF EVERETT BUSINESS LICENSE#( EQUIRED): 37 PRIMARY CONTACT: 0 OWNER ICONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: /1 1 CONTACT PHONE: /I 26- <�6 8 35 m i / CONTACT EMAIL: eril rat C @ fricY I if COM II BUILDING INFORMATION Existing Use of Building: e j.l6( . a(, ( Contract Price of Work:$- -6�' e''6 fti&p O Proposed Use of B,j t' ing: -"l1 -c44Jk 4( Heat Source: [$Gas ❑Electric 00ther BUILDING USE: mSFR ❑Townhouse ❑ uplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of ❑New ❑Addition Remodel ❑Repair ❑T.I. ❑Sin OSprinkler ❑Demolition OChange of Use YP Project: 9 DESCRIPTION OF WORK: HAvtbikc,1 exi _f-ihl hou-sc 4 kid U -l; on ASSOCIATED BUILDING PERMIT#(if applicable): \Ai I b ul.-()06- 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 NC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) /I Shower,Tub,or Combo Boiler i Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) 1 Clothes Dryer Heat Pump&Ductless Dishwasher a Sink-Residential(kitchen,bath,bar) .i.. Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilation Floor Drain -3 Toilet Exhaust Hood(Type I) (Not Heat/AC system) 2,— Hose Bibb Urinal Exhaust Hood(Type II) i Water Heater Interceptor-Grease Waste/Water Piping Repair I Exhaust Hood(Residential) Wood Stov Interceptor-Sand/Oil / Water Service(behind meter) I Forced Air Systems I Other: 6 i 9 a Medical Gas Water Valves or Fixtures 1 Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER I 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 l comply with the State Contractor Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT#. I D30'1 .C)0 Owrtiut oriz d A en ignature Da a (Revisea 4/15/2019) '/ `%�