2000 HEWITT AVE EVERETT EVENT CENTER 2017-05-24

PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING /SIGN / SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 447T 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT if�F'ORIIMAT.iom PROJECT SITE ADDRESS:iI H I.A/!rT- A116 PROPERTY TAX#: 91 _ LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CON"TACT INFORMATION OWNER NAME: GI Ty Qj 151—� RE "r f TENANT NAME(If Commercial):X FlAli r V Aki A hj EW j OWNER MAILING ADDRESS: STREET 3 d Od CF DA jZ S f CITY t UC P,c— F STATE A ZIP lysj2Df OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Q CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR 5q OTHER(Please Specify) BU j 1.D i/VG EAAV //V EE%Z CONTACT NAME: CONTACT PHONE: Y.25—--23/_ VS Z 45, M A ICONTACT EMAIL:mAf-k _C Ic�.rk Z C&,4 i s BUILDING PERMIT APPLICATION Existin Use of Building: Tcm,",;Z v .a-CE RIA)K !!5XA Contract Price of Work:$ Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: RCommercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: AVID D i>~Y S j AJ 'Flt d 5 KA rif ke,4j7—/Z- 4 R 6A TG iLA/G/.fj R� ASSOCIATED BUILDING PERMIT#(if applicable): ME CFNdNI :SIL''tkMIT'APPLICAT O tt' " P UMi3iNa'PERMIT APPLICATION Type of Project: _New _ Addn _Alteration Repair Type of Project: _New _Addn _Alteration _Repair Fixtures List of Fixtures Fixtures List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas PiPinq Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove lKitchen Sink&Disposal lGrease Trap Gas Ran a 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/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 PERMIT#.j6 1 Ll Owner/Authorized Agent Signature Date (Revised 10/12/2015)