2826 RUCKER AVE 2025-01-15 - Laserfiche WebLink

S • NMI PERMIT APPLICATION BUILDING / MECHANICAL/ 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:1313 Hewitt Ave Everett, WA, 98201 PROPERTY TAX#:00439167001400 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Tod Simms TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET1313 Hewitt Ave CITY Everett STATE WA ZIP 98201 OWNER PHONE:310-428-3700 OWNER EMAIL: CONTRACTOR NAME: N. )c�lY 2/�S Cp7 Z4&TV� CONTRACTOR ADDRESS: STREET (�P:' CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR m OTHER(Please Specify)Authorized Agent CONTACT NAME: CONTACT PHONE:206-669-4852 John Adams, Adams Architecture CONTACT EMAIL:: ohn@adamsarchitecture.net BUILDING INFORMATION Existing Use of Building:Main Floor-B, Upper Floor-R.2 Contract Price of Work:$ /L%C!�� C-:(-�) Proposed Use of Building:No Change of use Heat Source: OGas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ElMulti-Family-#Units:9 0Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑Sign OSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Tenant Improvement of five(5) Dwelling Units/A One Ground Floor Retail Unit. 4, 7 4,0 c(2;;-,,,!f 12ei.4t. 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 Backtlow 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/Insert/Log 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 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 � 5�j PERMIT# ` Owner/Authorized Agent Signature Date (Revised 10/10/2018)