1924 WETMORE AVE 2023-07-28 - Laserfiche WebLink

(0177- PERMIT APPLICATIO BUILDINAECHANICAL / PLUMBING / SIGNI&RINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (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:J?ZL' (,(J�°fi t /� 77 PROPERTY TAX#:avez3ZO 3 7qo ZJ G'C'7 LEGAL for new construction: Short Plat/subdivision gtsN�21�'Z(gttach copy of long legal description) CONTACT INFORMATION OWNER NAME: M/Art L4L€s'7Ai TENANT�BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET j if ZLJ ei(1-04€4,42_, CITY STATE l ait,, ZIP ( 00af OWNER PHONE: zS 2/O fit,d OWNER EMAIL: CONTRACTOR NAME: 00U/t44e_ CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR MOTHER (Please Specify) /`,4(CIAV // ri2 CONTACT NAME: ` i, gfarip2..c (/ CONTACT PHONE: 3( p.- ,S7Z, Q79 CONTACT EMAIL: q j/ho/ y/ oo• cr�vu BUILDING INFORMATION Existing Use of Building: .5rfZ Contract Price of Work: $ Jrw'—G4 1 csLLt Proposed Use of Building: �y14� "Q� CK Heat Source: ❑Gas ❑Electric ❑Other rr BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi Family-#Units: HCommercial 1Accessory Structure Type of Project: 4New ❑Addition ❑Remodel '—I Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: rizucyFoiel,1•J 0 i2Li ( 3or aJ �1� & 2f- I6 ' d E Tltt��z IzrLW2 Lo? /t2.r04- c),zcz ASSOCIATED BUILDING PERMIT#(if applicable): �j r� //,12 :.: 4. #09" MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixture` Count List of Fixtures Count List of Fixtures A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shover,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 Ventilatio 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/Insert/Log 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 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only ,08---;j;,.J —• Z , I P 2Fo \, _ z3 t //