3121 TULALIP AVE 2025-08-19 - Laserfiche WebLink

OLT le PERMIT APPLICATIC BUILDING`i MECHANICAL / PLUMBING / SIG / PRINKLER / 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 PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 312 1 TO 0,1.'(' At.c PROPERTY TAX#: Oo S g 3 7v 0 J C.,t.ttl t,AA I LEGAL for new construction: Short Plat/subdivision Lot No._ (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: ',7S e f_r ki(t-¢5.3,,, TENANT NAME (If Commercial): OWNER MAILING ADDRESS: STREET 3(2_ 1 i L,,_ C 'I -, ,, . / CITY 6-,/(„.G 1w) Z 7 pI 4 A STATE [ A ZIP 9g - OWNER PHONE: LI LS - Sit - L1 6 /I OWNER EMAIL: W(G�'�S.....se Fr i3 GjMa; (.Co^'• CONTRACTOR NAME: 1-j.. \J OLI C -E-r C L 1 -C CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: `�{—_ CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED)v CCC_1O14164 CITY OF EVERETT BUSINESS LICENSE#(REQUIREi. ► of (` ,,/....) PRIMARY CONTACT: D.OWNER ❑CONTRACTOR 0 OTHER(Please Specify) C5V- rry CONTACT NAME: ,s ec.E U%-)Ai'So-. CONTACT PHONE: q 2S - S I z - Li 6 II CONTACT EMAIL: ujp,ks o-.ye Fr 13 E Sr".e,:t. Car- BUILDING PERMIT APPLICATION Existing Use of Building: S F 2 Contract Price of Work: $ 7-3 a� _Lrr 5) 4O 3 Proposed Use of Building: cc Z Heat Source: Gas ..Electric ❑Other Building Type: .SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ONew lAddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Add:� 4.0 SF2 ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New • - Addn _Alteration Repair Type of Project: New Addn Alteration _Repair #of #of #of #of Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures A/C-Air Handling Units Heat Pump -Z Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater 2 Bathtub Urinal 1 Gas Piping Boiler j Lavatory(Wash Basin) Drinking Fountain i Water Heater Refrigeration t Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: C .. Clothes Washer Medical Gas Range Hood \ Water Heater Other: Exhaust Fan \ Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/ SUPPRESSION SYSTEM Number 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.1 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 PERMIT# 0c4 Zi 20/6 C ((,10 - OO� Owner/Autbe'`rized Agent Signature Date (Revised 10/12/2015)