2231 HARRISON AVE 2025-04-15 - Laserfiche WebLink

PERMIT APPLICATION 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 (Blase or Black Ink Only Please) 'J PROJECT SITE INFORMATION� , PROJECT SITE ADDRESS:2 2. 7/ /"'GTrry ,, /C�I/L 6.v..(/./-4.. n ) PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAMF .G e__ 5f4e .L,.-, ''// TENANT NAME(If Commercial): 2-OWNER MAILING ADDRESS: STREET .777 Hat-1-4c , ,47/ CITY C✓L.y/.--7 STATE tA,/ ZIP I�2g5 7 OWNER PHONE: L-2-5— ?" / 2"- OWNER EMAIL) L,,�_ ge-2 ��, �1 r j Cci,y-1 CONTRACTOR NAME: t CONTRACTOR ADDRESS: STREET Jes_Sln. �ln city STATE CONTRACTOR PHONE: CONTRAC • CONTRACTOR LICENSE#(REQUIRED): CITY OF TT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING PERMIT APPLICATION Existing Use of Building:�-4� , �� ,42.5i� 2___ Contract Price of Work:$10 `920 Proposed Use of Building: /l /J Heat Source: ❑Gas ❑Electric ❑Other Building Type: 12SFR-Detached ❑SFR-Attached �❑Duplex ❑Multi-Family of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel LlRepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: R4<— -rc.efr', w/ '30 yt- Y &� ep--/I/ S2 r /t--5, p.-V/ j L j iu7/ -5 GZ pf r�Y1 ,7 Q M ASSOCIATED BUILDING PERMIT#(if applicable): W` 1. ' - X 2 MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New_ Addn _Alteration Repair Type of Project: New _Addn _Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical 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 La .27 RCW d 296.200A WAC. City of Everett Official Use Only .c:(9ner/Authorized Agent Signature Da a (Revised 9/23/2016)