1513 23RD ST 2019-08-08 - Laserfiche WebLink

4rErr PERMIT APPLICATIO BUILDINIIIf1ECHANICAL 1 PLUMBING /SIGNWUPRINKLER/ DEMOLITION 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: 23rd ST. Everett, WA 98201 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION y�, BELLE CHANG MA W��CA a�AL1MAP OWNER NAME: TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 14725 NE 20TH ST. D62 CITY BELLEVUE STATE WA ZIP 98007 OWNER PHONE: 206 618 6680 n A/ OWNER EMAIL:EREPM@OUTLOOK.COM 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 ®OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:4254188191 MARY JOYCE TALIMAN CONTACT EMAIL:MJCAFE90@GMAIL.COM BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$ ,,mac Proposed Use of Building: Heat Source: ❑Gas DElectric ❑Other BUILDING USE: ❑SFR ['Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ['Accessory Structure Type of Project: ❑New addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ` 1 Vlipfk 11 (t) LOover VfNi 'CI n L 1 C�1� 4h i u)fi), wf- , w 0 ) c ,rv- h lit ASSOCIATED BUILDING PERMIT#(if applicable):%�1;ll/, \-0 i l0 MECHANICAL PERMIT APPLICATION ' PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer I Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain i ill Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatior Floor Drain 1 Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains [ Water Heater SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump 1 Other:e./Aa--r r4 tc-h i-14) Water Suppression System No.of Heads Chemical Suppression System 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.lam 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 C----9*--N-1\ o — ` ? PERMIT tato 1, occ9 Owner/Authorized Agent Signature Date (Revised 1 /10/2018)