6326 EVERGREEN WAY 2023-06-08 - Laserfiche WebLink

II ''I iiilierr. PERMIT APPLICATIONIIIII BUILDING MECHANICAL/PLUMBING/SIGN TSPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT„SITE,INFORMATION PRO,JEC 'SIT�,A gzs 2_tf 'v6Q69_661 1 bow YPlc? c r�0ot� #: ag� AX 52a k 2 OOO t LEGAL fornewconstruction: Short Plat/subdivision Lot No. (attach copy of long legal description) ATTR(Ai t,O :. ;CONTACT INFORMATIOM. OWNER NAME: 1)00G TILMJ6 L TENANT NAME(If Commercial): s� e � O1j1N '1AL 1 lorMAILING ADDRESS: STREET 6`4e-t 0 5V eRS,Q � � b� J A £UTO 0W tA o� t cm( t V j STATE 19®)N ZIP & O OWNER PHONE: a-2-5- ai5 ® 23?I OWNER EMAIL S tr L. L,97@_..0‘ ck-L'Li CO CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR XOTHER(Please Specify) ,fi t TLc_1 CONTACT NAME: gpkv,p,,tvie- HUtkeiz_. . CONTACT PHONE: ZOO — 7g2_ 2o\ n j kW OER,SO lio A--c-iiO CX CONTACT EMAIL: CI LO dog-c,rcji -co ;' BUILDING;PERMIT APPLISATION Existing Use of Building: ,fUt0ISODY Q-CPAct - SW* Contract Price of Work:$ 2-1 000 Proposed Use of Building: AcUt O b Ot'/ T4. 1),k1�- St$OP Heat Source: ❑Gas El Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: -EtCommercial ❑Industrial Type of Project: ❑New Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ; ler - - l 0 ,i — ° - 9 Pi ' . -- _ - • . :.ri_ .' 0fiT.1N 61.D6. PE -t- t TS FOP_C4-, NOW - I'PEr--F . Acs-ES&0(2' 5TV-soc'tOIR-ES At so CAD- I ITi 014 L L,d J C Af I BJ 6. ASSOCIATED BUILDING PERMIT#(if applicable): JICcc. &O 9--"/ Jt ?ixA UL # 2440 Sr- - .MECHANICAI PERMIT APPLICATION PLUMBING`PERMIT APPLICATION ;I Type of Project: _New _ Addn _Alteration _Repair 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 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: 1 _i :SPRINKLER I SUPPRESSION.SYSTEM {=, VA (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 be're bein 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 wit/he tat Contractors Law 18.27 RCW and 296.200A WAC. Cityof Everett Official Use Only // PERMIT# t W 2 ✓)1 10/12/2015) v, •w /Aut orized Agent Signature ate (Revised