9301 3RD PL SE 2025-03-11 - Laserfiche WebLink

MINI PERMIT APPLICATION MI 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:9301 3RD PL SE PROPERTY TAX#:00625400000800 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: JORGE HEREDIA & MARIA AMEZCla TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDR STREET9301 3RD PL SE Ty EVERETT STATE WA ZIP 98204 OWNER PHONE: \ OWNER EMAIL: L CONTRACTOR ME:TBD tJ.'`, I UY n14 QAI)l1/]i J J� -Ti"""`�/ �A 11 I D 'hap ',tw�L CONTRACTOR DDRESS: STREET ��V�l'��' 1/ YV l/� t ,�"�C/ rrr > CITY STATE ZIP CONTRACTOR'PHONV CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425 512 7570 --le-- 6Z-"_ ?-6j 4 _ oieL; 1—(CPS—D>A CONTACT EMAIL:heredlaj9@gmall.COm BUILDING INFORMATION Existing Use of Building:R-3 Contract Price of Work:$ 77S l-) ( C) !-- l(5.4— Proposed Use of Building:R-3 Heat Source: ❑Gas OEI tric ❑Other BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: Commercial ❑Accessory Structure Type of Project: ❑New ❑✓Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: N ou a skoole (.1 i 46 Cfly SLi ) ma , 733. So SP 01= WA-0 C;u:Y() Arc-, 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) 2 Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless 1 Dishwasher 3 Sink-Residential(kitchen,bath,bar) 1 Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop 3 Exhaust Fans(Residential) Commercial Ventilation Floor Drain 2 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) 1 Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/InserULog Roof Drains Water Heater SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System 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 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only /171-.'"Yrt . PERMIT# �l 0 er/Auth ized Agen S gnature. Date (Revised 10/10/2018) /Z