6229 W MAGNOLIA AVE 2025-03-07 - Laserfiche WebLink

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: $jrag ,fT�� '�l 'I(( /(,�h PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: V,rn4im,g 11/1/rain 1l 5 TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 1O22/ 0 M :/ �k)lo 46.- CITY / // STATE UPI— ZIP en 763 OWNER PHONE: ltsdc.' ,,2/0 6I OWNER EMAIL: Mara M /1m�/i, & 47 CONTRACTOR NAME: ,,,,I of//d j nlg • - CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME✓r /2/4- Myl2M0✓4---' CONTACT PHONE: O 49/fJ 196 I / Los-, 3j/�_s( /L, t4 ii pl/r i a,d s CONTACT EMAIL:.-o�ynala Le /06,-J, L Y4i BUILDING INFORMATION ExistingUse of Building: 4 jl� Z j�/ � ��CQ Contract Price of Work: $,,,� (� 3 , 5 _ Proposed Use of Building: 11.14,4h9 &mi// NEX, Heat Source: OGas AJElectric ❑Other BUILDING USE: ❑SFR III Town Ouse ❑Duplex EADU ❑Multi-Family-#Units: ❑Commercial Accessory Structure Type of Project: New edition ERemodel Repair ❑T.l. Sign Sprinkler ❑Demoliti n III Change of Use DESCRIPTION OF WORK: , 41 ra pn c 0 € vi 1'_ h sto, Wa(i Ul4t se(-F r l V- if ►'Lt 11 ayrt racy-(/�,�r /Al J I hwu pG tive ` 4 �Lf o-11wr &C'1- of PYl At ague JVYb�P�lf �'�"t'• 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 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/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 Fr,. ' 'L,-��/' /q- 2O�� PE �( �oS� Owner/Authorized AVM Signature Date (Revised 10/10/2018) 1�