2715 EVERETT AVE 2019-09-05 - Laserfiche WebLink

PERMIT APPLICATIOmB► BUILDINECHANICAL/PLUMBING/SIGRINKLER/DEMOLITION _ � CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I E everette s@everettwa. ov I www.everettwa. ov/ ermits O p 9 9 P (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: a 7 15' EV E R E_T-T" p\J PROPERTY TAX#: <290 5a.o oo 47104, `I 0 O LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: 8 E.n-{-ANY C.I#R I Sr i A-N TENANT NAME(If Commercial): C A L E B G L A S£R OWNER MAILING ADDRESS: STREET a 7 j 5 CV ER,ET-T AV Q�p cry E.V E R ET T STATE W A ZIP 7 O oC 0 OWNER PHONE: /2 S 87(0 7 q 8 0 OWNER EMAIL: CONTRACTOR NAME: A c c€.S S F t RE PRo'rEc•r t o iJ SERV I C,ES , I N C. CONTRACTOR ADDRESS: STREET P O 6 oo X 4 if 3 crry GIG I+PPRBO R STATE (A)F) ZIP / 8335' CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): A C C ES FP 9 LI ( 3'F CITY OF EVERETT BUSINESS LICENSE#(REQUIRED)yphl/1 j+. PRIMARY CONTACT: O OWNER VI CONTRACTOR 0 OTHER(Please Specify) L.aL eL CONTACT NAME: CONTACT PHONE: I/,5 q( 3 .26(4$ 31-IANNONGAtL C-I1 W0CF CONTACT EMAIL:actin ine...0.C-ceSSfire.prafe-c-ft7On. C.OM BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ oZ S?0 Proposed Use of Building: Heat Source: OGas OElectric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: (1,Commerciai ❑Industrial Type of Project: ONew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign OSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: c p GOA OE EX I$-rm WC, k(t`ct-1�Et.) RAWCF- 4 4 E prp Ft.R.E. S UPp�R.ESS(O N 5 NI ST>�M To L.A.. 3 00 SYS1-ESn CM- n'i 1cM—> ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _Repair Type of Project: New _Addn Alteration _Repair List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtu of List of Fixtures FixturesA/C-Air Handling Units Heat Pump Toilet Backflow 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&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas /O Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: " R/SUPPRESSION SYSTEM Chemical or Water I INo.of Heads AC' •o • .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 properly to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296200A WAC. City of Everett Official Use Only ` a:11%4%49'66 / �/it PERMIT �� Owner/Authorized A t Signature 8zDate (Revised 9/23/2016) 61