2224 WETMORE AVE 2023-09-27 - Laserfiche WebLink

mum PERMIT, APPLICATION BUILDING ECHANICAL/ PLUMBING /SIGN .SPRINKLER/ 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: ,�L..2_7' 1✓`-'/ Y1 0 it PROPERTY TAX#: 0 y3 q L I V7 el 0 0 00 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: ,14-)&"1 (_ . -,S TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET ,)_, '/30 ,L L b 7/"/ '7 > (-4-'' CITY file) t,'` l STATE t'✓('4 ZIP / J OWNER PHONE: &L� , t 7 )tf 6 .13 J OWNER EMAIL: q)0 1 C ./ `'�f'l '6 6 6 ,474/c..,,.. <<y CONTRACTOR NAME: (4) ( A E r CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (L/LS/ y.), -6FL?J— M-1 l_.- ` - ' 1 - ' CONTACT EMAIL: 472 BUILDING INFORMATION _ Existing Use of Building: 5 i4i2 Contract Price of Work:$ I (tl6Q 6) Proposed Use of Building: C / / Heat Source: ❑Gas ectric DOther BUILDING USE:XSFR ❑Townhouse ODuplex DADU ❑Multi-Family-#Units: OCommercial DAccessory Structure IType of Project: El New DAddition gRemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: n e�OG /` L e 's)S ,--J 6 ,.4-C144 X(S~71 f'7 (, p f ‘,/ 1,10`').S '`l--',� /Z(4'i711 )4 fl%)-6 1 e44- •-i 7 C(r:,4/'? (, 3/7) -'7 ( 04- -- e61f/-lie OC21 ASSOCIATED BUILDING PERMIT#(if applicable): 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 kflow Preventer(Inside Bldg) 3 Shower,Tub,or C o er Ga nge Clothe Sher Sink-Commer ial(3-comp,prep,floor) al—. Clothe er /-H—eat Pump&Ductless _ / Dishwasher ---,`� y SinK-Residential(kitchen,bath,bar) Duct System model) Refrigeration Drinking Fountain , i. Sink-Utility,laundry,mop U Exhaust Fans(Rest 'a) Commercial Ventilatior Floor Drain I Toilet Exhaust Hood(typ-e I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) - . Water Heater Interceptor-Gres 1Waste/Water Piping Repair Exhatig Hood(Residential) d Stove Interceptor- d/Oil Water ice(behind meter) //Gorced Air Systems Other: Medical Gas Water Valves o ures as Fireplace/Insert/Log Roof Drains / 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 PERMIT 1 L 2 / )'1- 1_0 r2-' co q er/Authorized Age ignature Date (Revised 4/15/2019) //