1332 RUCKER AVE 2025-03-10 - Laserfiche WebLink

Ore". PERMIT APPLICATIOI BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (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: 133Z 17-.acu .sr- bJE PROPERTY TAX#: o 385 Z43 0 Igoo LEGAL for new construction: Short Plat/subdivision P1b► Lot No. (attach copy of long legal description) CONTACT INFORMATION l )-O S- OWNER NAME: "T•ia4c.ak 4*10 Ti..►is. Gtlt-gzw1 TENANT NAME(If Commercial): n1,h. OWNER MAILING ADDRESS: STREET 1'.532 a.+uvC-Ee- AAe. CITY E.(eL -I-r - STATE \,.1 p, ZIP °VizLSO1 OWNER PHONE: -, 12.E0.1 4 a✓134L OWNER EMAIL: GIa..c6a1 .77?..dc$, a MISI.. .GoM CONTRACTOR NAME: ovc.31.46.R.. CONTRACTOR ADDRESS: STREET 1a.3 Z. p.t!y D„J G. CITY EJ£fZE'jT STATE Ny Jp, ZIP 42182.. 1 CONTRACTOR PHONE: .412.5 IcyAr r71641. CONTRACTOR EMAIL: 6u_s40, , TZ c MdI►_.(Alm CONTRACTOR LICENSE#(REQUIRED): gyp, CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 14.(. PRIMARY CONTACT: grOWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: ,orz.ca Ire_ .5.3 0a.b -r br_.'k C tt"s.c.N CONTACT EMAIL: Gu_Son1 . T, - -1 � czahnbtt_. co M BUILDING PERMIT APPLICATION Existing Use of Building: 'St).ic.=‘.lt. 'FtzaMm.._. Contract Price of Wo :$ %-- -• -l.J l&- Proposed Use of Building: St►-4(aue. FtaMt%_s% Heat Source: VGa ■Electric 00ther Building Type: C2tFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ■'ommercial ❑Industrial Type of Project: ❑New ZAddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: )4,t mg,N p,z)D+-rtpN •I ,+j1.1 �Ft...t...L- -o.a..�m4T%o+J. N%.t1 CbNC .T'E Fi- e- sus%,1-1 D¢.n+.v aGvtE. ta-t. "Ex+sT►+1f, SPAc.lc. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn Alteration _Repair Type of Project: _New _Addn • eration _Repair #of List of Fixtures #of List o ixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixt •s A/C—Air Handling Units He_ •ump Toilet B. fiw Preventer(Inside Bldg) Forced Air Systems -nit Heater Bathtub ° al Gas Piping Boil-r Lavatory(Wash Basi Drinking Fountain Water Heater Refneration Shower N Floor Drain Gas Fireplace Wo./ tove Kitchen Sink& .Isposal . i Grease Trap Gas Range I• ting Dishwasher Roof Drains Clothes Dryer Hookup. ` 'ether: Clothes rasher Medical Gas Range Hood ! Water 'eater Other: Exhaust Fan N. , Si (Service/Bar/Mop/etc.) Other: SPRINKL- . /SUPPRESSION SYSTEM Chemi .I or Water I 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 oQf Everett Official Us/e Only —J -5)23 J 1$ PERMI #� `..,0.. . 0 co Owner/Authorized Agent Signature Date (Revised 9/23/2016)