6002 COMMERCIAL AVE 2019-06-24 - Laserfiche WebLink

PE,-MIT A PPLICATIC "11111P.---- BUILDING I MECHANICAL I PLUM 1;1NG I SIGN I SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� www.everettwa.gov/permits (Blase or flack Ink only Meese) I-•JECT SITE INFORMATION PROJECT SITE ADDRESS: W � L 4 V1 U •• [PROPERTY TAX#:I sk/ LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: .bA,0,vo ' Vf V Y TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: D1J V WKS CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING PERMIT APPLICATION hh Existing Use of Building: Contract Price of Work:$ U 0L) Proposed Use of Building: Heat Source: ❑Gas DElectric DOther Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: DCommercial ❑Industrial Type of Project: ❑New DAddition DRemodel DRepair DT.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ket Vkg _r 'e-_,-, AiK 1�� 0 4iii,1 444) ASSOCIATED BUILDING PERMIT#(if applicable): OM Ji 01-OO MECHANICAL PERMIT APPLICATION YePLUMBING 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 Fixtyurj'es Fixtures NC—Air Handling Units Heat Pump '/i 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 1 Kitchen Sink&Disposal Grease Trap Gas Range Ducting 1 Dishwasher Roof Drains Clothes Dryer Hookups Other: 1 Clothes Washer Medical Gas Range Hood 1 Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER J 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 5k 0' 4 • /I A510114PEI✓ 1t 6 V 61) Owner/Authorized Agent Signature Date (Revised 9/23/2016)