5306 33RD AVE W 2019-09-10 - Laserfiche WebLink

#1147T 1 PERMIT. APPLICATIOI BUILDING/MECHANICAL/ PLUMBING I SIGN /SPRINKLER/ DEMOLITION 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: 3:7,0 ,..73-1-. (,uq- re�0. PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision_ __„ Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: 6,4 /41,0,1_, TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 5-2m, 4 1r CITY �I/,e:4,---4'",_ STATE _�y//"/�f- ZIP 79,2d,..? PHONE: „75- 9 / 37 WANNER EMAIL: fge9v TE1" �(?., -5-11/1//05407/74,01,41� CONTRACTOR NAME: ,/ hit' /�®,A.9_nA CONTRACTOR ADDRESS: STREET 01y4.11 f']14Z/7 /) /y� CITY �v�gL. �h'— STATE /Aty9-- ZIP yyj 2 CONTRACTOR PHONE: OS",„R.,/,‘,-ft,B3 '/ CONTRACTOR EMAIL: �W�©//7�,gy,9� _�'�„¢///`, CONTRACTOR LICENSE#(REQUIRED):/ fit,h1J/ >&9Y9,77.2._ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):szei7 PRIMARY CONTACT: 0 OWNER flaCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: A CONTACT PHONE: .(/n 5 6—969? 1f/eJ� l CONTACT EMAIL: 704,4A,0„,,,,,,Js `Ja_,417 4 J� GDS `/ �/, BUILDING PERMIT APPLICATION 7Y�LS� Existing Use of Building: Contract Price of Work:$ Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: El SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New DAddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ASSOCIATED BUILDING PERMIT#(if applicable): &/*//4// !/PCZ 1 MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New_ Addn Alteration _Repair Type of Project: _New _Addn .SC Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures NC—Air Handling Units Heat Pump 3 Toilet Ai Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater / Bathtub /i/ Urinal Gas Piping Boiler a— Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration 2 Shower di/ Floor Drain Gas Fireplace Wood Stove / Kitchen Sink&Disposal Ar/4 Grease Trap Gas Range Ducting / Dishwasher ^/�A Roof Drains Clothes Dryer Hookups Other: a_ Clothes Washer /✓//j Medical Gas Range Hood / Water Heater Other: Exhaust Fan ZSink(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 Sta actors Law Y 7 RCW and 296.200A WAC. City of Everett Official Use Only /�� PERMIT 71 g _ r Owner/Authorized A•ent Signature Date (Revised 9/23/2016)