706 LEGION DR 2023-12-07 - Laserfiche WebLink

imi PERMIT APPLICATI011b BUILDING I MECHANICAL I PLUMBING / SIGN roRINKLER I DEM 0LITI•N 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: 404) 2c, ii_b a_4- i w PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) / CONTACT INFORMATION OWNER NAME: j C01 \ L{r( : VIA l i L/ jCl/ TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET (61,F' (,(�/ Q/1L) i)i CITY, f t (, .C; STATE �/ ZIP 2_ , OWNER PHONE: , 9 e 03 OWNER EMAIL: -IAA'0,I41 lit to 1/4 C) 64.1 /k/C C 4,"1.7 CONTRACTOR NAME: 6 C y(€,Y CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT:LDS' OWNER El CONTRACTOR OTHER(Please Specify) \-1 v( --0 rid. L OS - ,) 3:.4' IV - CONTACTc NAME: CONTACT PHONE: q Z.--) -3 .t(, - u_4-1L/ - �25 -_23) ,�I t 2 CONTACT EMAIL: /� / / i 1 � lJL• �ll�! ( �G �-� fi�titi � • co BUILDING INFORMATION I Fxistinn lice of Bi.iildino• Contract Price of Work: $ / Proposed Use of Building: neat Source: ❑Gas ❑Electric ❑Other BUILDING USE: .: SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Farnily-#Units: ❑Commercial ❑Accessory Structure Type of Project: El New ❑Addition ❑Remodel Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: 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 A/C—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(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/InserULog 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 Offi I 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 comp) wi h the State Contractors Law 18.27 RCW and 296.200A WAC. I� City of Everett Officialfi Use Only 10'4 V /tt f�I.'ttL. C� id')/ `� PERf411)T#� 1 OR — v O Owner/q'uthorized Agent Signature Date (Revised 4/15/2019)