10617 ROSEWOOD AVE 2020-05-05 - Laserfiche WebLink

imii PERMIT APPLICATION lizi BUILDING , MECHANICAL/ PLUMBING/SIGN I`,e'RINKLER/ DEMOLITION EVERETTCITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Btue, ii iii alc ink Oniy,Please),: PROJEC7:SITE INFO;RMATION,,,. PROJECT SITE ADDRESS: 1 0.4 17 5c-- ^ ir7A. ME E'va - PROPERTY TAX#:0 O j z L ',0170 y LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) 'GONTACT.INFORMATION.. . OWNER NAME: piviJ61 ��I ft)B-Nli1 y 4 t (0 L. TENANT BUSINop-d_c - OWNER MAILING ADDRESS: srREEr ,3Z ,� �, S�' t r � I � — c ry C A-- 17 tr• (96 OWNER PHONE( 23) 361 -O`,7)13 OWNER EMAIL Ai i `" CONTRACTOR NAME: /1 .) t/11 I tVef %• /'/ — CONTRACTOR ADDRESS: STREET dr 9�1� CITY l I CONTRACTOR PHONE: CONTRACTOR EMAIL IC If • 'O 'Z-7 CONTRACTOR LICENSE#(REQUIRED) 1J CITY OF E . `8 _ PRIMARY CONTACT: XOWNER 0 CONTRACTOR 0 OTHER(Please Specify) — CONTACT NAME: : v CONTACT PHONE ( (4 \ I\L 140-S CONTACT EMAIL: a_ ;BUILDING INFORMATION Existing Use of Building: iCr. f Contract Price of Work:$ i�06(� Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ONew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ; Vef110 C-X i 6.h in /4010 I IC, Y011/C-, ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL:PERM.IT APPLICATION . .. PLUMBING.PERMIT APPLICATION, Fixture Fixture Fixture Fixture Count List of Fixtures Count • List of Fixtures Count List of Fixtures .Count List of Fixtures NC-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 I) (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 Roof Drains Water Heater SPRINKLER!._SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System No.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 wilting from the Building Official before being a •-rized 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.50E0—Col .a•s Law 18.27 RCW and 296.200A WAC. / City of Everett Official Use Only PERMIT# _ / '(:-:) (Lr.)--ji;177 k 9 0 g —.001-li Owner/Authorized Agent Signature Date (Revised 4/15/2019) 1/