2000 TOWER ST PARKS HALL 2019-01-11

46-17- PERMIT APPLICATIO BUILD!.MECHANICAL I PLUMBING I SIGN RINKLER I 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 (Blue or Black Ink Only Please) PROJECT SITE INFORMATION ^� PROJECT SITE ADDRESS: IMO �t,(IIQV lee PROPERTY TAX#9S !O0OZiO 1 tJ DV LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) ' CONTACT INFORMATION OWNER NAME: VQ/&j L4%i4 Ili W lec TENANT-1 NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2.003 Tow ci' Cvmel w4 1 'hot ,' CITY +} STATE n� .}1-� `� ZIP,/ J OWNER PHONE: 3190-3•,1-3�5'O OWNEREMAIL: lOnfitk,4bIt 1 vii r IV ee.5, U+A✓ `ov CONTRACTOR NAME: f Y \, 11,pi,c) k.,-crCONTRACTOR ADDRESS: STREET ��yyyy""" CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: Q� w CONTRACTOR LICENSE#(REQUIRED): et-ill-0 0 6� D kt� CITY OF EVERETT BUSINESS LICENSEJJ #(REQUIRED): VA, A I ` PRIMARY CONTACT: 0 OWNER . ❑CONTRACTOR 0 OTHER(Please Specify) I,`�boti/v1 Av AI I- S p✓e✓f,- 7I✓ CONTACT NAME:-p/evll1- D,�� CONTACT PHONE: yo, ( I - $ t i Lr, i. ,fa,,^la vi i" CONTACT EMAIL: bbty'4 O W/}'1 ji L'id 7S )0 / tom BUILDING PERMIT APPLICATION r��11 Existing Use of Building: 1� Contract Price of Work: $ $ SOI 000 11Q Proposed Use of Building: 18 Heat Source: ❑Gas ❑Electric DOther Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Mufti-Family-#of Units: SCommercial ❑Industrial Type of Project: ❑New ❑Addition .Remodel ❑Repair ❑T.I. OSign ❑Sprinkler ❑Demolition OChange of Use DESCRIPTION OF WORK: Ljo .o ertS_h,A! 1`let rot i 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 List of Fixtures List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures NC—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 Water Heater Refrigeration • Shower Floor Drain Gas Fireplace Wood Stove Kitchen 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/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/comply with the State Contractors Law 18.27 RCW and 296.200A WAC. rt 'l /� L) / City Iof Everett Official Use Only Al��a " y/,�' ! / 0PERMIT 4l� \ N/ flIOwnerlAuthorized AgenSignature Date (Revised 9/23/2016)