6326 EVERGREEN WAY 2023-06-08 - Laserfiche WebLink

PERMIT APPLICATION I I �f BUILDING / MECHANICAL/ PLUMBING /SIGN /b ItINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES r� 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits f xr .j ROJEcr � 1� C� a�.... ....�a ,77.4..';11", y ,3i351�.. ....., yCvifl F.�. .. . PROJE SIT ADpRSF�J �RN owl Plci©OOCl�AX#: — 2 OOC} LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) ,b A C t D AC s ' 0Q+1lJ�'�' > 000100** a``Wr ethL� OWNER NAME: DOVG TU TENANT NAME(If Commercial): s'?t .lML I 01-EJP---- 51.- 03/NBA-MAILING ADDRESS: STREET 64-tO 5�/5P-62-E.i1J 11‘.1 /6q AUTO �,ODy� •TEly�N T ' CITY V e-p_e-`} 1,, STATE 10 h ZIP pL��O� OWNER PHONE: x-25— X53 23g1 I OWNER EMAIL: S�rlelicxl\L 7 . �W1C u - CO IttA 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 ZOTHER(Please Specify) Ala-Cli'TSL CONTACT NAME: 6 In.tEtJ_Fj Hut-Lev— CONTACT PHONE: 2..o -- 78a- 23 l k%J OERSO N AY?C 41CMC-TS CONTACT EMAIL: C1C6DL Q GIPJA—Q -Cif\ •CO VV; z gr Existing Use of Building: A-UTO601DY 12-EPA(R SlkOP Contract Price of Work:$ 2- 0p0 Proposed Use of Building: AUTO ejOO\-/ k IAtQ.- Stt-OF Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: -( Commercial ❑Industrial Type of Project: ❑New Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ODemolition ❑Change of Use DESCRIPTION OF WORK: ; - : _= - - p —. _ . - - 'sr _ . O CPT—AN W6. P e -t t TS FO C9-J NO - P EVA . ACC-U 0P-Y kND sOMs ADptTIO►.trtt✓ L/NDSC-..cf 11.E 6. ASSOCIATED BUILDING PERMIT#(if applicable): ACC..E E,• rjTct V t At I S00 Sr 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: 3. SPRINk*R t SIGN SY TEI�II ^/ilt 1Number 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 1 comply wit the to Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 2�� PERMIT# (22 U O 0(3 •w /Aut orized Agent Signature ate (Revised 10/12/2015) "