2405 MAPLE ST B 2023-06-21 - Laserfiche WebLink

= IP PERMIT APPLICATIO BUILDING i MECHANICAL I 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: 7,11106 M k 1 k".e4 , -6 ft e`t PROPERTY TAX#: L TO72poO qO9 1 D0 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: VJiA4 Gk‘ 4 I,lo5QA TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET [D 2-QL{ Z- A-vvz, SW CITY •S ',( \.e STATE %/ A ZIP1614/ 6 b ff �4,3 OWNER PHONE: Z �j� n OWNER EMAIL: ' .e AA /-t-)1� her' ( ( i Lp✓14 CONTRACTOR NAME: (,14 clja '5 140 Me S a G CONTRACTOR ADDRESS: STREET 'Li, IJov. 2A.I CITY V-1 �A A Vlot STATE ViA ZIP g O 3 CONTRACTOR PHONE: /4Z.1---rzt"- 36 6,, CONTRACTOR EMAIL: 1 ee e 1/'f ,v1c a. 6--1 j14e 1 I i Goo u CONTRACTOR LICENSE#(REQUIRED): try �— 6 11-403� CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): S.13 7 / PRIMARY CONTACT: ❑OWNER I CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT I� CONTACT PHONE: j-t2�. L/¶ c��6j 'v,i G�kti 1 'Dm CONTACT EMAIL: e Q. c vi ( (, ( ,0 • BUILDING INFORMATION . Existing Use of Building: N A Contract Price of Work:$ 50/©D 0 r CO Proposed Use of Building: kekmev, 4Ii v Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex EADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: CI New ❑Addition ❑Remodel ❑Repair DTI. OSign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Ge Ac-ki-j ,�� . I a.��,� Ka ( hT-- Af�, 1JetAbu ----7 . -7(,,�,. t ✓l l &Y t✓w,r ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION • PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixturess Count List of Fixtures Count List of Fixtures A/C Air Handling Units ii Gas Piping Backflow Preventer(Inside Bldg) I Shower,Tub,or Combo Boiler`\, Gas Range ` Clothes Washer Sink-Commercial(3-comp,prep,floor) lClothes L r'er Heat Pump&Ductless M Dishwasher 3 Sink-Residential(kitchen,bath,bar) Duct SysterNRemodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatior Floor Drain ( Toilet Exhaust Hood(Tpe I) (Not Heat/AC system) . Hose Bibb Urinal Exhaust Hood(Type I) 1 Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Reside NV) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Heater SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water..Suppression System No.of Heads Chemical Suppression System hlo.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 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. C C. 1 City of Everett Official Use Only ''�- PERMIT# Owner/Authorized Agent Signature Date (Revised 4/15/2019)