2525 RUCKER AVE 2023-06-22 - Laserfiche WebLink

PERMIT APPLICATIO BUILDINOMECHANICAL I PLUMBING I SIG N. PRINKLER 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 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 2-S ZS V . PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: p,l U gbh ��.r,y - Code. 2,CtL7-E„TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 2- S Z S Avuge v Ave CITY 'iteiti tt STATE W 4 ZIP () ?-Z 6 I OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: ! - ew 101yr, (o4 rvir-fiber / H'G'►#t se p1 v"rib CONTRACTOR ADDRESS: STREET 19,D , 34) x L(I I CITY s ; ifrJo*/( STATE 1/%/ee ZIP 90p -2 5 2_L CONTRACTOR PHONE: L S- .3 Z ]-ZO y y CONTRACTOR EMAIL: AkA,31t l�p.,., v2/�,,,,j,,;1/43//G. Co CONTRACTOR LICENSE#(REQUIRED): G pp L Lj p L g y 3-O CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): SS 90 a PRIMARY CONTACT: ❑ OWNER CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: ZJ Z S—3 2 7-- Z a r'/ y e `7 Y "' ash fell CONTACT EMAIL: NG,I c_eD .,.�,-,pic a„biy-3//4,C!/r-) BUILDING INFORMATION ExistingUse of Building: Sa urr 1AI ,w�� r�'j }Y- ��y(Gyr Contract Price of Work:$ � 2� u�u , o'aProposed Use Use of Building: 5 G.I u#476.1 Ay/`y/ (4.1'747,1,4`/ Heat Source: OGas DElectric ❑Other BUILDING USE: ❑SFR ❑Townhouse ODuplex ❑ADU ❑Multi-Family-#Units: I (Commercial ❑Accessory Structure Type of Project: ONew ❑Addition ❑Remodel DRepair T.I. ❑Sign ❑Sprinkler ❑Demolition OChange of Use DESCRIPTION OF WORK: /VIOLC �i�;s47 3 . s ' 7 '4 04 gc ASSOCIATED BUILDING PERMIT#(if applicable): 1 1 9 4 C 63 3 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 Clothes Washer _ Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher . Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration 'Z C Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatior Z / 4 Floor Drain 3 Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb 1 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/Insert/Log Roof Drains t Water Heater SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression SystemI 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 befo ing 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 e ate Co actors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only I ) /12, Ow orize gent Signature Date (Revised 4/15/2019)