2410 38TH ST 2019-08-22 - Laserfiche WebLink

OIL . PERMIT APPLICATIO.! BUILDING' ) MECHANICAL / PLUMBING / SIGPRINKLER / 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: 2.411D $$-lid S{., .✓.erc,W, I NOS PROPERTY TAX#: 10057-li OD Z-L000 D 0 4/ LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION /� OWNER NAME: e4A, , `uVc-TM ,, /....i....,_ TENANT BUSINESS NAME(Commercial):L j Wi vlw-SAvF- OWNER MAILING ADDRESS: STREET 'ZS.f L0 313-i-i, ,-H- CITY STATE,,J4 ZIP 9liZz/ 42.6—_-71,6p _ OWNER PHONE: (JO pth OWNER EMAIL: 6„,„ e 5-YA1Kvh 10„),„&,COM CONTRACTOR NAME: 44PFW y cNS.T,„T/Dd CONTRACTOR ADDRESS: STREET BIC)5 "A20,APwa-y CITY 1/1..„(E4-1-- STATE 16/T ZIP 47,024S CONTRACTOR PHONE: o42S •.?SSS -5SUd CONTRACTOR EMAIL: Inco ® "'” e l sAY1Ae-Artt7f1_!_OPY\ CONTRACTOR LICENSE#(REQUIRED): C7AFFIJ I I soil K3 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: DOWNER 0 CONTRACTOR MOTHER(Please Specify) 4 _`, i _ - •. ...A_: CONTACT NAME: CONTACT PHONE: 4.zS-252—7.4 5l '- Al Ma- ��, E CONTACT EMAIL:, 4-S 1.R 17 alevili / ._un • ),v BUILDING INFORMATION Existing Use of Building: (037 w sie tsktreto Contract Price of Work: $ 110. 000.CD b Proposed Use of Building: 1.1 p Lk} vvF Heat Source: ❑Gas DElectric gOther BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ©Commercial 4ccessory Structure Type of Project: 'New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: 2 Sem 'urn a • g5(�1nhn�•`.\- 5ov�-'H^ 1/4" o 6Xl wevitIvAAAe. 4-1:7 i A.sko►,lk v vz.w CvrL. 'PcA.d 4-o '+ AJ\ ?f 4-11,4 1v-t-k-L .r,ui' G Dix.2,0' ASSOCIATED BUILDING PERMIT#(if applicable): 4J0A14--'Ar LI)t)‘'K^r' 'iDX 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 Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry, mop Exhaust Fans(Residential) Commercial Ventilatior Floor Drain 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 Other: Water Suppression System No.of Heads Chemical Suppression System 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 Arr-*1 illi , . / PERMIT ttit I N....... (:) (231 Owner/A orized Agent Sign•a Date (Revised 10/10/2018) )ll /Z