4301 TERRACE DR 2024-02-27 - Laserfiche WebLink

Nom PERMIT APPLICATIO in BUILDING MECHANICAL I PLUMBING I SIGNfIPRINKLER I DEMOLITION EVERETT CITY OEVERETT PERMITERVICES 3200 CEDAR RE-S- 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) PRO ECT SITE INFORMATION PROJECT SITE ADDRESS: Li 80 k (4/we nldcr15 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: J i' 0 011/(_14 TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET l ,7 ( , u-( - Pi i. �p CITY LL STATE it.3•, - ZIP / G� I I ,..2 OWNER PHONE: (VS--7 l/'U /j`f S� OWNER EMAIL: — 1 CONTRACTOR NAME: WIA, 4 %.,..u.- - CONTRACTOR ADDRESS: STREET v l?r a Q to`., p cCITY `Ju ' l STATE Lt J ZIP Cl 11 CONTRACTOR PHONE S 747 - D 7 CONTRACTOR EMAIL: St<v(k LCc %Li—e r� v - • '�oY+ CONTRACTOR LICENSE#(REQUIRED) N ��p CITY OF EVERETT BUSINESS LICENSE#(REQUI-: i�' )�0 i PRIMARY CONTACT: ❑ OWNER XCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 1.�g�'- -1 i - ©�,7'g r 1l.QAo t 0 Lao ceituic CONTACT EMAIL: g'tl{lM1( .. Co -lLC. eA rr",\ . Gct� ExistingUse of Building: Contract Price of Work:$ (',A rj BUILDING INFORMATION �rM-'�r .( INS �s'ri IlK%nes= �CJU C... Proposed Use of Building: 6LivoC t INt�t.;-1 1'v - Heat Source: OGas ,Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: El New ❑Addition Remodel iirRepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition OChange of Use DESCRIPTION OF WORK: k N.°,...5 2A---A-&,0,---, .v5K Pal 0 p-A Vi,--0-1 Poc.)re• b"lt.i-S%i-t, f Y1 AC4& -0( Lrawk t CAlNsire) K is a o,.et 3 i 3e ny ia 4 ASSOCIATED BUILDING PERMIT#(if applicable): t -- MECHANICAL PERMIT APPLICATION (--PLUMBING PERMIT APPLICATION Fixture Fixture Fixture `=� Fixture List of Fixtures List of Fixtures List of Fixtures List of Fixture Count Count Count -Count --,/ A/C-Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) 41gAir Shower,Tub,or Combo Boiler - Gas Range / Clothes Washer Sink-Commercial(3-comp,prep,floor) / Clothes Dryer , 9 Heat Pump&Ductless / Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain v Sink-Utility,laundry,mop fIZ Exhaust Faris{Residential) Commercial Ventilation Floor Drain ,02- Toilet x au -y-- (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 X 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 bet' being authorized .-r. y circumstance.lam 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 •- state Contractors - 1: '7 RCW and 296.200A WAC. ce-102cr----II City of Everett Official Use Only PERMIT# Owner/Authonz-d Age Sig ature Date (Revised 4/15/2019)