2323 LEXINGTON AVE 2025-07-10 - Laserfiche WebLink

MIN PERMIT APPLICATI UZI BUILDIAPI MECHANICAL/ PLUMBING /SIG.SPRINKLER/ DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WAS.HNGTON (F)425-257-8810 I FAX 425-257-8857 i(E)everetteps@everettwa.gov I www.everettwa.gov/permits Mile 02 Black Ink Only Pleas P: C1 r t ' SITE INFORMATION PROJECT SITE ADDRESS: 2323 Lexington Ave PROPERTY TAX#: 00544801302400 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) • cL '=_CT Iir..FORMATION OWNER NAME: Robert Jacques TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 2323 Lexington Ave , cry Everett -ATE WA ZIP 98203 OWNER PHONE: 360.620.1918 OWNER EMAIL:rob.jacques@yahoo.com CONTRACTOR NAME:Same CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: El OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:360.620.19 1 8 Rob Jacques CONTACT EMAIL:rob.jacoues@yahoo.com - --------- _ _ __ ---'-- `via ORIViz/ „0k Existing Use of Building:SFR ;Contract Price of Work: $ Proposed Use of Building:SFR !Heat Source: ❑Gas ❑Electric DOther BUILDING USE: ❑SFR ❑Townhouse .JDuplex DADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑✓Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: voluntary earthquake retrofit ASSOCIATED BUILDING PERMIT#(if applicable): _.:-_ __riL PERMIT - _?ION PLUMBIK.-:-r: ,,,tEaMIT APF- _C i 20 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 Ventilation 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 I SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System I 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. / /c)/Ciitty of Everett Official Use Only I. //d/p 7,0 pEry i Owner/Authorizes Age11/7 ignature Date (Revised 10/10/2018)