3405 BELL AVE 2019-09-04 - Laserfiche WebLink

PERMIT APPLICATION lillP/444Z—_ BUILDING I MECHANICAL/ PLUMBING I SIGN /SPRINKLER/ DEMOLITION 0g 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: 5 qO5 Bea Ave_ PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Ifcun-u We-ri- Fro;er r!U TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 10,21._ iv r-t sl- dry A(,t+Ie W4 agio3 STATE ZIP OWNER PHONE: 3(p0- q-'7/8. OWNER EMAIL: /YJpvn-letnwerfloroper4 cLLC gr✓7a.I. (-em CONTRACTOR NAME: Au I&S-L-C ons V CONTRACTOR ADDRESS: STREET t'IL09_ • %#1) ,4' , , CIN Olyrnr�,�, (AA ' 6/3 STATE ZIP CONTRACTOR PHONE: ff"- ?.,_ CONTRACTOR EMAIL: , ►viyYlu f.Jf, Czfr, CONTRACTOR LICENSE#(REQUIRED):' ALL U&� O'i 4 -z_ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):(*kepi PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER(Please Specify) eli(. t-- CONTACT NAME: 3apies/�ato'^� CONTACT PHONE: 3(oO-7Pr- 7'fa J'^" CONTACT EMAIL: Mainfroh Wes-frrop t e..r//r @r'7cb'I.&II , BUILDING PERMIT APPLICATION Existing Use of Building: 1' ti 4" Contract Price of Work:$_OO- Proposed Use of Building: At."4 AC , Heat Source: ❑Gas El Electric ❑Other Building Type: ] FR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial El Industrial Type of Project: El New DAddition ❑Remodel Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Tear I- Curre44- Sec k. (tro+kXX) 0.14. ,'d Lt ,v, Sdt WO e, 1s.i.e f,44. i 1 " cAr bow-46- 4D »e" &e Lv beat.. �"�' ASSOCIATED BUILDING PERMIT#(if applicable): plepa;r wan w;O, l - la w rottcn �°�ywoa� , /�rh: I MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New Addn _Alteration _Repair Type of Project: '(New _Addn _Alteration X Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C-Air Handling Units Heat Pump 2 Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater ! Bathtub Urinal Gas Piping Boiler L , Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration ( . Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups I Other: I Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan ea. Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water I 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 PEWIT# et- `�-1 (, ) %oc( — 00 \ efiA orized Agent Signatur Date (Revised 9/23/2016)