2806 CEDAR ST 2023-09-25 - Laserfiche WebLink

moo PERMIT APPLICATION nii BUILDING ECHANICAL/ PLUMBING / SIGN PRINKLER/ 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:_ Q 5 CGIO,�— icrp � p1 4 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) j ' CONTACT INFORMATION OWNER NAME: r"o P(' V4h Li OO;,•i;s.5e v, TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET ' Q7 ��s-)L,r—,S,-- /,�CIITTY ru(-Ph i�P•/•-1. STATE J' A- ZIP W2. / OWNER PHONE:, 6". 4 IC) C OWNER EMAIL:r,Jr-, ✓,•%n hna„-„5 xh .Nr3r 1•Cc'xM CONTRACTOR NAME: ,/i��t CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING INFORMATION Existing Use of Building: 5r I{ Contract Price of Work: $`.2;:r)(7)I Th J Proposed Use of Building: 3 FQ Heat Source: EGas ,Cectric ❑Other BUILDING USE:,SFR ❑Townhouse ❑Duplex EADU ❑Multi-Family-#Units: ❑Commercial EAccessory Structure Type of Project: ❑New ❑Addition )aRemodel El Repair DTI. ❑Sign ❑Sprinkler El Demolition ❑Change of Use DESCRIPT ON OF WORK: tote_ exSV i , � )ifr43: JL GO C--Aro64' L . IoGL )C(AnJr,,{ \ ASSOCIATED BUILDING PERMIT#(if applicable): �0�V✓1 0� CK, __ _:.?-��r' 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) j Shower,Tub,or Combo Boiler Gas Range 1 Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless 1 Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatior Floor Drain I Toilet Exhaust Hood(Type I) (Not Heat/AC system) " Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease M 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 j Water Heater SPRINKLER I 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 PERMIPr /� �,(9 Owner uthorized gent ignature Date (Revised 4/15/