2320 MCDOUGALL AVE 2025-09-09 - Laserfiche WebLink

PERMIT APPLICATIOP' BUILDING. . MECHANICAL / PLUMBING 1 SIGN , ,.SPRINKLER/ DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Pleaae) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 3 2 0 MC~)� ; ( �L �i{er,✓fit' �?B'_�i PROPERTY TAX#: 00�3q j 4 5 C,L)_ LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: 5CO n cq 7 TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET a3,�0 Nc cL,c - CITY e-()QtSTATE 01, ZIP I 3,�f�l�. OWNER PHONE: , Ou G - (DoP-� OWNER EMAIL: 17��t2 � �.�'(MG1c k ,ccirn CONTRACTOR NAME: ODY-L-Q-V� 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) �V I r_~ U,SSC 1 AA CONTACT NAME: 1 CONTACT PHONE: t✓(i �uy3 CONTACT EMAIL: �VC� L''d� C� V1 J1� 'C ory-N BUILDING INFORMATION ExistingUse of Building: 7ct52.�� g: _ � Contract Price of Work: $ Proposed Use of Building: S r Heat Source: ❑Gas NElectric ❑Other BUILDING USE: XSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition (Remodel ❑Repair LIT.1. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: 2- =►'1 5'�7,�l� n� G,h S 4- —� 112 Sr:- J' [ MC VvVI� tj h rv`C(,o ��rv,po �1 rQ ASSOCIATED BUILDING PERMIT#(if applicable): `e W 4D �� MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures List of Fixtures Count 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 Founta ,,j' Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet Exhaust Hood(Type 1) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type 11) Water Heater Interceptor-Grease!>� t Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sandf0" Water Service(behind meter) Forced Air Systems Other: Medical Gas lWater Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER/ SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System INo.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 1 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 1115w, PERMIT# Owner/Authorized Agent Signature Date (Revised 1011012018) Z