3617 HOYT AVE 2016-10-20 - Laserfiche WebLink

PERMIT APPLICATION BUILDING 1 MECHANICAL 1 PLUMBING 1 SIGN I SPRINKLER 1 DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 l(E)everetteps@everettwa.gov I www.everettwa.gov/permits Blue or Black Ink Only Please PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 3617 Hoyt Ave. #203 Everett WA 98201 1PROPERTY TAX#: 60 SFS 1`40 i�O O q 00 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: S. Magic Johnson TENANT NAME(If Commercial): Dallas Brown OWNER MAILING ADDRESS: STREET PO Box 13366 Mill Creek WA 98082 CITY STATE ZIP OWNER PHONE: 520-955-3180 OWNER EMAIL: managerAehoyt-apartments.cofn CONTRACTOR NAME: —Nh4r 0wnQnS 1 ` CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): I CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ®OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING PERMIT APPLICATION Existing Use of Buildin Contract Price of Work:$ Proposed Use of Building: Heat Source: CjGas ❑electric dOther Building Type: ❑SFR-Detached ❑SFR-Attached ❑Du lex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Re air ❑T.I. ❑Sin ❑S rinkler ❑Demolition []Change of Use DESCRIPTION OF WORK: ASSOCIATED BUILDING PERMIT# if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New_ Addn Alteration _2LRepair 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 X Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove lKitchen 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 1 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.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 (.oPER IT ` , L 22 1 Owner uthorized AWnt Stn a Dat (Revised 520/2016)