1327 112TH ST SE ABC LEARNING CENTER 2019-08-20

PERMIT APPLICATIOa BUILDING/MECHANICAL/PLUMBING/SIGN /SPRINKLER/DEMOLITION j:Ae 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 1 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 1327 1 U.-ft, S� s� PROPERTY TAX#: LEGAL for new construction: Short P14/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: 0 7(1.30 f s' ra yr ......f2 TENANT NAME(If Commercial): ,4 c Lea 6,0-F OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: 42,c- -2:re a_2-Zj OWNER EMAIL: ` CONTRACTOR NAME: 5(� �(y/ <3' ç CONTRACTOR ADDRESS: 1 STREET/ �9/t).f5 W i f IPA CITY in(aC7e / STATE ZIP 980 3 CONTRACTOR PHONE: 4-2-'5"--.17?�_q 2 CONTRACTOR EMAIL Jf to� {�� ./c d ti, CONTRACTOR LICENSE#(REQUIRED): r..�� 1'c c JD CITY OF EVERETT BUSINESS LIGEN #(REQUIRED) oS 19 2- PRIMARY CONTACT: ❑OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 2 2_ j °6›.-C f /it — CONTACT EMAIL: T s%0 t.� ,�9 pt,,j �'t BUILDING-;PERMIT APPLI ATION. 7 �• Existing Use of Building: Contract Price of Work:$ Il Proposed Use of Building: Heat Source: ❑Gas ❑E ■Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Fa ily-#of Units: n Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ORepair 0T.1. Malign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: 54-4(I d'a 1 _-e rN CM 6),•®c c.-ail ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New Addn Alteration Re Type of Project: _New _Addn Alteration epair #of List of Fixtures #of t of Fixtures #°f List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures NC-Air Handling Units Heat Pump Toilet :.ckflow 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 Kitchen Sink&Dispos= Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer ookups Other: Clothes Wash= Medical Gas Range H••. Water Hea : Other: Exhaus an Sink S- ice/Bar/Mop/etc.) Other: SP i NKLER/SUPPRESSION SYSTEM Chemical or Water ' INo.of Heads ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is tare 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 lam authorized by the owner of this property to perforin 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 �_� 112— /4 —7 PER ' ,2 ``f0c,, iOwne�ent Signature Date (Revised 9/23/2016). 6 Z