8810 EMERSON PL 2023-09-26 - Laserfiche WebLink

imim PERMIT APPLICATION in BUILDINGOECHANICAL I PLUMBING I SIGN IVIRINKLER 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 I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESSe01?7 V44401 PROPERTY TAX#:004s25-6pt)(-j Cif) LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: /I-If 1"L 1/4. L 41-47 TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 1 Cj Deo f I,4.[S - CITY /1Ie STATE 1144. ZIP -1 ei 7 j OWNER PHONE: 'OWNER EMAIL' .- 1..., •I� cz3,41,44)...Acticil CONTRACTOR NAME: \ \ CO OrJ 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 OTHER(Please Specify) 1)-€0 Li t n Li-{t,', CONTACT NAME: 1 - �j CONTACT PHONE: 7t , ..p(L 1 G Sir V' f r CONTACT EMAIL: , 1,1,4 Ir., $ietAri ( '1 tiw4.t ( , [C,,-., BUILDING INFORMATION E Existing Use of Building: Contract Price of Work:$ --1-"‘ Proposed Use of Building: iz- Heat Source: ❑Gas�lectric ❑Other BUILDING USE: FR ❑Townhouse ODuplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Proj t: ❑New ❑Addition Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: CiA41 ,A) t d -6 y.t - - Cam—"IL, ,L1 /1 Iff rigete ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fi ure Fixture Count List of Fixtures Count List of Fixtures ount List of Fixtures Count List of Fixtu s A/C-Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) ' Shower,Tub,or Combo Boiler Gas Range Ill ! Clothes Washer Sink-Commercial(3-comp, rep,floor) Clothes Dryer Heat Pump&Duct) s Dishwasher ":2_, Sink-Residential(kitchen,b th,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Vent'atior Floor Drain I Toilet Exhaust Hood(Type I) (Not Heat/AC sys m) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Pipin epair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service( ind meter) Forced Air Systems Other: \ Medical Gas Water Valves r Fixtures Gas Fireplace/Insert/Log Roof Drains Water He er 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 anu(void... "L...._oie 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 „or, 2jec!c, r.-0 t \ Owner/Authorized Agent Signature Date (Revised 4/15/2019) j/