5525 SEAHURST AVE 2023-06-22 - Laserfiche WebLink

m PERMIT APPLICATION" I az BUILDING ECHANICAL 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 Vs PROJECT SITE ADDRESS: 55,�j• S�/•',11 U R S( / / L� `7 is:-v J PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION DOWNER NAME: V/( v) 'D ZAP i i TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET PO B /)k 5-Ej / II (y CITY /410k I STATE LAM- ZIP 9 Q ;.i7 OWNER PHONE: G/-).-;j j pZ 3 tS P/J OWNER EMAIL: Ci�Q 1/ Q + IV) p c, w- f'[I 4✓l 4,CONTRACTOR NAME: ('VV N r/L (et L 0,/e CONTRACTOR ADDRESS: STREET g D( { a 3-- .v.A . /, n j ,0 4-. S l-t-e Q dd i.e. .s S CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 1 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: Ef).__S a.`3 E-b / / S4' 9,4 V t D CONTACT EMAIL: d�,,v t d�, zo!-,r,l, �:�' e 414,er . / , C b - BUILDING INFORMATION l . Existing Use of Building: Contract Price of Work:$ ,r7(X'O cx2-- Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse El Duplex DADU ❑Multi-Family-#Units: ❑Commercial DAccessory Structure Type of Project: ❑New DAddition ❑Remodel ❑Repair ❑T.1. DSign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: 10W' t k bo6t\AM/Y1 1 iliii 1 n(16* ASSOCIATED BUILDING PERMIT#(if applicable): 4---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 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(ResidentiC ) Wood Stove s Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems lel. /Air E2 l Medical Gas Water Valves or Fixtures l se g 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: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 Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PER IT /\ 4, Z./1 iq 9-6 0-6 I V 1 Owner/Authorized Agent Slgnat a Date (Revised 4/15/2019)