2315 74TH ST SE 2019-08-13 - Laserfiche WebLink

NM PERMIT APPLICATION ® :UILDING i uviEC ANICAL I PLUMBING I SIGN I lk.” RINNKLER I DEMSLI-d ION E V E R E T TCITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (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: )31s- 7 (' -1.- SZ L We, 9 Z..PROPERTY TAX#: c.)(:,j'- co 1-et; 6i✓4- L , LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) tt CONTACT INFORMATION OWNER NAME: �s jZ,, $ [�,/4(?,( ,L} �10 )f,/1 TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 2.3 S� -2 ,/I.1 $ - S?-- CITY p /(LA- STATE 113/4 ZIP 9°?e zoi OWNER PHONE: z OCo- q 1 LI- 262iS OWNER EMAIL: e b03 e, CD3 G_ Ctrvr Com.54 • /J-' CONTRACTOR NAME: ® U f(� A) Er CI 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:j ,14J ,� CONTACT PHONE: -1 -•- /7 8 -0.37() l'' -9, 1 +Ot, 6-11 CONTACT EMAIL: BUILDING INFORMATION Existing Use of Building: Contract Price of Work: $ di 8 i 000 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: DSFR ❑Townhouse ❑Duplex DADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New DAddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION 7OF WORK: -Db' ' sKx,r(&+:,IC\-ki -V-00 C (2-e-- Vf\--. Ckr ASSOCIATED BUILDING PERMIT#(if applicable): 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:/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 l comply with,ie State Contractors Law 18.27 RCW and 296.200A WAC. d City of Everett Official Use Only PE V.--- -ZI I9 T� clCXQ -03 Owner/Authorized Agent Signature G Date (Revised 4/15/2019)