4301 TERRACE DR 2024-02-27 - Laserfiche WebLink

• .---- PERMIT llT APPLICATOON• L_ BUOLDDNG / MECHANICAL PLUIMvI:DNG I SOON I SPRONKLER I DE(I�dr OUDTDON EVERETT CI F EVERETT PERMIT SERVICES 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 I(RI a®p Black Ink Drolly Please PRO ECCT SITE INFOR ATi II©ll PROPERTY Y TAX#: PROJECT SITE ADDRESS: L ,�� IIty _ LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT IINF©RMG'TRO OWNER NAME: CD' i ' _I VL:I TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET i -7 + r O q?t-t- P t - C% j L� STATE ietv- ,��- ZIP CITY OWNER PHONE: VS--?`-el'-• 1 — OWNER EMAIL: . CONTRACTOR NAME: ,LAUM ,,mil ' — __ _ CONTRACTOR ADDRESS: STREET ` 1 3 C i LO rt 14 v CITY i. W ra STATE P.- ZIP R 3 I p CONTRACTOR PHONE(._ .S 7'- — O&7 CONTRACTOR EMAIL: SKyt C_a� ,Lt—e- CONTRACTOR LICENSE#(REQUIRED): 6 CITY OF EVERETT BUSINESS LICENSE#(REQUI -'j .„,...,_ PRIMARY CONTACT: ❑ OWNER CONTRACTOR t OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: i�c.- (-(i — o�s7'g 1 Aoi - CONTACT EMAIL: SACy, �;,� !e .t-l-c, e2-y I(b>;,A�� '..,_d,�o BUILDING INFORMATION; � pp Existing Use of Building: (�a ��: Contract Price of Work: $ �_/t I — Proposed Use of Building: Jt AE i,i ttf— v‘—. Heat Source: ❑Gas ,Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ODuplex DADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New DAddition Remodel jiitRepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition OChange of Use DESCRIPTION OF WORK: Asa °i At=0 k*5 0A7r/Ate • 1, W,TK , y_, 4 Il - qi,(1)-1, POC),freN 1 ,h t 'ASSOCIATED BUILDING PERMIT#(if applicable): —_ _ M HANICAL PERMIT APPLICATIO I® PLUMBING PERMIT APPLICATION Fixture Fixture Count/ � List of Fixtures —Fixture List of Fixtures Count List of Fixtures List ofFixtures Count / A/C—Air Handling Units Gas Piping , Backflow Preventer(Inside Bldg) Z1/ Shower,Tub,or Combo Boiler Gas Range / �Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless / DI hwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking-ountain Sink-Utility,laundry,mop '/4 Exhaust Fans(Residential) Commercial Ventilatior Floor Drain ' _ Toilet x au (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) f 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 z Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Dra' / Water Heater SPRINKLER/SUPPRESSION SYSTEM S ge 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 mu't 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 bef 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 e tate Contractors - 1: '7 RCW and 296.200A WAC. City of Everett Official Use Only _ ic................--- ,..-.,_ PERMIT# �--- r A c kJ . - 7_— furl. 1 Owner/Authoriz d Agen/Sig ature Date (Revised 4/15/2019)