1031 HOYT AVE 2023-06-22 - Laserfiche WebLink

IEEE �IX PERMIT APPLICA N BUILG / MECHANICAL/ PLUMBING / S oLN / SPRINKLER/ 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: 1031 }.' y 7" A V ry-M AC PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision 001i 6 B (I tip 00180 Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: ,S r' Phiglei 13 LiF4A TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET I b 3 1 I )i-r A vet.; CITY jaV► it Ivr T STATE / 4 ZIP 9 a 1Q 1 OWNER PHONE: 706 1 1 5 — 1 c( 6o OWNER EMAIL: RLAG.k 6ATies-- FA ! W 4#i)j316l CONTRACTOR NAME: ,45(.1 a M. N 0 ittTh .+�"&.ST CaNs rei ,�.'�� j j • �OW� CONTRACTOR ADDRESS: STREET 2 Z 3 Z. 13 RO A o W'� _Y -6,1 Tiff_��I G I c, Err STATE int` • ZIP I g ® j -1 CONTRACTOR PHONE: 206w 1 ! �.. 1.6$ ' CONTRACTOR EMAIL: MAP% Z AXIOM 04 vJ • 4•001 CONTRACTOR LICENSE#(REQUIRED): AX Ion's% 14 4.44201.4rCITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: D OWNER , ,;ONTRACTOR MOTHER(Please Specify) DESI&'lJ CONTACT NAME: 1, C�+Q CONTACT PHONE: y i r 4601 9 O 1 , M I �.G�r SI.'i�7«�r� CONTACT EMAIL: VIA 144Is a SIr%t ALQAt-,p • 60Y1i. BUILDING INFORMATION Existing Use of Building: ,s*R Contract Price of Work: $ /.20) 6000 P;upoced Use of Building: s' R Heat Source: DirGas DElectric DOther BUILDING USE:XfSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New Addition dieRemodel ❑Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: AO 0 ►N G►• ' eve A (MA svt►ni' ) N Su./ MAS {_ atArr 441 kl 4t SIE, 5*1-Alftr .,. 'Q4S w,6I*.r;`-, ikew"OAt;C►1, fx�1 r,J 6►' �[/T"Glhfr l a fi4T'1 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 NC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) / Shower,Tub,or Combo Boiler Gas Range / 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 I 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 Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/InserULog Roof Drains Water Heater SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System No.of Heads ACKNOWLEDGEMENT:1 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 loft Everett Official Use Only Z / ZI'2t7 PERMIT n�# t 1...... — 001 OwnlAu or Agent Signature Date (Revised 10/10/2018)