5414 S 2ND AVE 2019-05-22 - Laserfiche WebLink

PERMIT APPLICATIO BUILDIN ., I MECHANICAL/ PLUMBING / SIGN / SPRINKLER / DEMOLITION IIS-1 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 (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: ; L1 Z.u. 1- c-v.._ C�v - rl L�I�3 2 R — ).„ OPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: �.T, y' 52 [.,1 C. 1,icAi L y t;:_,i-___,,, TENANT NAME(If Commercial): OWNER MAILING ADdRESS: STREET 5-1-1/ L1 f , 2 .,e{ ( 4 v---__, cm, L-Vece " STATE L `! A ZIP 1-6 e_o r `` OWNER PHONE: C° (-C' 9 `'(`i e,.+-4,-V OWNER EMAIL: II i .1Z6\j Z -c -1ckIi00 •CC.-.,\ CONTRACTOR NAME: /„.:, f.) 0' ;I\ c, r y ,.�:`,\ �,-'L� 1(-- ! CONTRACTOR ADDRESS: STREET ) CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): JCITY OF EVERETT BUSINESS LICENSE#(REQUIRED): ."......-. PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: `v1k.Lj'ZV._c,, CONTACT PHONE: 92L-)c) C 1/4--- 0 C---4- j C_ 1,1Gtie-Z v( n .V-_," CONTACT EMAIL: Al "BUILDING PERMIT APPLICATION;.. . L• . Existing Use of Building: Contract Price of Work:$ � '2- VC ,6) Proposed Use_of ilding: Heat Source: ❑Gas ❑Electric El Other Building Type: FR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: DCommercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: L L m p w��l 3�/l ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION IVA PLOMI:BiTtraittgRmir APPLICATION Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair #of #of Fixtures List of Fixtures Fixtures I List of Fixtures Fixtures List of Fixtures Fixtures List of 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/ SUPPRESSION SYSTEM Chemical or Water I 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 writing from the Building Official before being 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 with the State Contractors Law 18.27 RCW and 296.200A WAC. /'� — City of Everett Official Use Only PERMIT# r Owne7.1.1"riized Agent Si 41'«- Da - (Revised 9/23/2016)