3317 RUCKER AVE C D 2020-07-15 - Laserfiche WebLink

MATS CCD PERMIT APPLICATIOt!!— BUILDING I MECHANICAL I PLUMBING I SIGN/SPRINKLER/DEMOLITION CITY OF EVERETT PERMIT SERVICES • `oi 3200 CEDAR STREET,EVERE I I,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) /� [ PROJECT SITE INFORMA ION PROJECT SITE ADDRESS: 2 2/7 !i ei!Y/l.¢/ vim• C1/et— PROPERTY TAX#: 6 6'f?69 7?956FGG LEGAL for new construction: Short Plat/subdivision cvG✓&-j p/L A-p/o1ot No/4I9(attach copy of long legal description) /�4 L CONTACT INFORMATION /a OWNER NAME: 77/1 .J&e ✓ &Gr. tt'it - TENANT NAME(If Commercial): IA//,¢ OWNER MAILING ADDRESS: STREET t C ru (j/' P1 k.'eerf CRY Ly 4 A' STATE 14.4ZIP q'477 OWNER PHONE: 2.0 G --1.-Pi 7701 OWNER EMAIL: L dPI t 4 . 2f vs-9- 44, ea.oaks. CONTRACTOR NAME: LG4' h, ? G oA ry1 k e..1k)ij C.,t_ G �1 CONTRACTOR ADDRESS: STREET 1'7) 7 ,l' L>'�tr/ ioh /2t v 0 it 17 7 cnY 17t/I.,1}7h v /STATE �4' ZIP 9J 7 9 CONTRACTOR PHONE: 41:r- el,- 0.7..r ' CONTRACTOR EMAIL: ise-4'd 42e-G-174/4 6,,ii. .664, CONTRACTOR LICENSE#(REQUIRED): L t-eil D/ r C 771 O7 CITY OF EVERETT.BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER c -CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: Lt 1 / CONTACT PHONE: ''y.r/70--O.?.1.0 Peal ff-G&/hAt- Of CONTACT EMAIL: Lvjr-z. -1,a. 4 ®`J Gil,►6r(.464, , BUILDING PERMIT APPLICATION �r Existing Use of Building: "P> Contract Price of Work:$ .7t•69 c" Proposed Use of Building: C.a Ao(r/3r - Heat Source: IllGas DElectric DOther Building Type: DSFR-Detached ['SFR-Attached RDuplex DMulti-Family-#of Units: ClCommercial ❑Industrial Type of Project: ®New DAddition ['Remodel ❑Repair DTI. ['Sign ['Sprinkler ['Demolition CDChange of Use DESCRIPTION OF WORK: hael" obi/944 71'7 , u (2 t -For" GCwc'fs e- 4 Wif ASSOCIATED BUILDING PERMIT#(if applicable): Cilturter, -Per IAVI #S A, ��C1 p Iv.-4f 10 MECHANICAL PERMIT APPLICATION PLUMBINGC©JPERMIT APPLICATION Type of Project: j.,New— Addn Alteration _Repair Type of Project _New Addn _Alteration __Repai #of List of Fixtures #of Fixtures #of List of Fixtures #of of Fixtures Fixtures Fixtures Fixtures Fixtures - A/C-Air Handling Units i-'Heat Pump (, Toilet = ow Preventer(Inside Bldg) 'L. Forced Air Systems % Unit Heater 11 Bathtub Urinal 14 Gas Piping -": Boiler (, Lavatory(Wash Basin) Drinking Fountain ZI Water Heater ...-/'' Refrigeration Shower /- Floor Drain "Z, Gas Firepla).->7, Wood Stove '2. Kitchen Sink sposal Grease Trap Z Gas Ra,±;- Ducting 2 Dishwass Roof Drains "L Clot,:- bryer Hookups Other. 2 Clo =-'s Washer Medical Gas 2 ge Hood .,Fater Heater Other. haust Fan / '0D Sink'(Service/Bar/Mop/etc.) Other. 4_,6 SPRINKLER I SUPPRESSION SYSTEM te/ ®12 Chemical or Water I No.of Heads .1 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/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 'o'f]Everett Official�ci� Use Only '�% "r ,e/11 . `GfeZ71! / PERMIT#n6 a [A 'U.t✓l- Owner/Authorized Agent Signature Date ' (Revised 9/23/2016) /17\ l /