818 94TH ST SE 2019-08-14 - Laserfiche WebLink

ep,_ _ PERMIT APPLICATION BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION 4011 CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 8 I a 51,/+" Si- i J�„.-r,+i-1(n1 t\ 9/9208 PROPERTY TAX#: c8Pos-i-soo3oli 00 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: AS.G.W (' ot'f t TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET el g q�/ s4- CITY -3e�A*LSTATE (��-- ZIP 2paoa OWNER PHONE: / OWNER EMAIL: CONTRACTOR NAME: Na-4-r.5c Ejk, 'C1/ ) seS PB C, AV✓pYfJ'..0 CONTRACTOR ADDRESS: STREET / ' -4 CITY 5'4-11(4eli/r STATE 1./0/1- ZIP (ea7 CONTRACTOR PHONE: O6 9 © U� CONTRACTOR EMAIL: Se01' �d 4.t 1r f sro c�O(w A rr/r CBrti CONTRACTOR LICENSE#(REQUIRED): tdier It Q 7 6 7O 8 S CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): ell q,q PRIMARY CONTACT: ❑OWNER ONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: j qqqo 368 &k(a[joy) 144fr pir--- CONTACT EMAIL: Mr4-1-rix. ti../... ,,,, , ` ',...__,....__..../. .. ...„: „...,ti . — " BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$ #'i -ro o 0 Proposed Use of Building: Heat Source: ❑Gas lectric ❑Other BUILDING USE: CS� R ❑Townhouse ODuplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: E3M‘w ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: P--PP i .- A-c,c4.4-1)0 ofvy U 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 NC—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 Ventilation 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 I,SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System � INo.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. / PERMIT# City of Everett Official Use Only ill —_.__ 44 (' t -0(7 ,...?„,,,000:1-it , zed A arr 'ure Date (Revised 10/10/2018)