2320 MCDOUGALL AVE 2025-09-09 - 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 1 FAX425-257-8857 1(E)everetteps@everettwa.gov I Www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: ac) MCA )1.; -i l V E PROPERTY TAX#: c)o q 32!I q s oaa,o� LEGAL for new construction: Short Plat/subdivision Lot No (attach copy of long legal description) n 1 CONTACT INFORMATION OWNER NAME: 'S f`CAA6ey) TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 3 d Mr' r c„(, �T CITY �..C(1 STATE \0-!A ZIP ai�1 OWNER PHONE: aO — 3"'�is/ OWNER EMAIL: CONTRACTOR NAME: G �) CONTRACTOR ADDRESS: STREET CITY ,� !�, Y{G:>`� STATE z,, S C) 3 CONTRACTOR PHONE: a -7�3 -� a CONTRACTOR EMAIL:—�erfy lor, CONTRACTOR LICENSE#(REQUIRED): �Sr r \ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): �r PRIMARY CONTACT: ❑OWNER CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: r`- CONTACT PHONE: } �S�(�_ `1d, CONTACT EMAIL: ;Sckir lam .0 ►�} BUILDING INFORMATION Existing Use of Building: QYY)-P Contract Price of Work:$ Proposed Use of Building: 5c r"V Heat Source: $Gas ❑Electric ❑Other BUILDING USE: 12SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition XRemodel ❑Repair LIT.1. ❑Sin []Sprinkler ❑Demolition ❑Chan e of Use DESCRIPTION OF WORK: - nr ntv 6A."00M 1 ray a4 l ASSOCIATED BUILDING PERMIT#(if applicable): C 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 Ventilatior Floor Drain Toilet Exhaust Hood(Type 1) (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 IRoof Drains Water Heater SPRINKLER I SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System No.of Heads ACKN WLEDGEMENT.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 deral,st 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 Kfficiaf efo a eing authorized under any circumstance.I am the owner,or/am authorized by the owner of this property to perform the work for which application is made, and I comp wit t e St t Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only i17/M P # d� Owner/AU orized Agent Signature Date (Revised 10/10/2018)