6326 EVERGREEN WAY 2023-06-08 - Laserfiche WebLink

PERMIT APPLICATION IIII IIII II BUILDING/MECHANICAL/ PLUMBING/SIGN /SI INKLER/ DEMOLITION 044.77. 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 i.. , ..:.. '' PROJECT SITE INFORMATION a ...., PR - OJE SIT D S&;24, Uec6R v tvtcY PaO6E0R6T6 AX#: _ $000 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) A 1kCii I CONTACT;INFORMATION.: OWNER NAME: S)006 Tl)M6 iL-. TENANT NAME(If Commercial): SPECIAL I'1T5_-,r ' O MAILING ADDRESS: STREET 6`` � Q.b�i 4 10 ��l5GK) 1 ® AUtO 60bYp • rJ�I�`r : V CITY E-VE - STATE ik. ZIP l,E2,®� OWNER PHONE: A-2-5- a5 -® 23 t OWNER EMAIL: 5k A U 17g C-L - C91 A CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR MOTHER(Please Specify) A -1-t Tis r CONTACT NAME: gat,,e67Ra, uu - HUI,I CONTACT PHONE: CO -- 722_- 2$ I t ,r-„ kw CEso 10 Ar?C-iik C`T- CONTACT EMAIL: Cs,\Dt_ C (Oq—IX.'rCiAi •CO lAk BUILDING,PERMIT APP:LICATION ' - Existing Use of Building: /1cVr®60QY - Pk(R StIOP Contract Price of Work:s_21544:1,9'44)-- 2-t 000 Proposed Use of Building: Ayr VD NY/ 1'4. "SIL- Sti-OF Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family#of Units: -Commercial CI Industrial Type of Project: ONew Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler CI Demolition ❑Change of Use DESCRIPTION OF WORK: ii : _ - = - r - \• ,A — - - " ' ' P Pi . i :►- - . . - •P a •- •r ' ®PATAIN 611)6. Pep-i, ITS FOR_(.4-3 t)0 — PCPK. A c c O R-Y ST'--l)CtO IR-G-S t.0N® 6 OMS I a 11i 0 w4�Al_ ul X10 sCP f Bo 6. ASSOCIATED BUILDING PERMIT#(if applicable): ACCO(.. .SJR' c-Y `J1p1LtV?...-S *r' 4- bolt MECHANICAL,PERMIT'APPLICATION PLUMBING:PERMIT APPLICATION 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: SPRINKLER I:SUPPRESSION SYSTEM,: , KfAc INumber 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 wi/he tat Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only // PERMIT# (51 60 ^ .. O Up•w•1/Aut orized Agent Signature ate (Revised 10/12/2015) ilLf,