105 46TH ST SW 2019-09-10 - Laserfiche WebLink

M ' BUILDIdA I MECHANICAL IIFPLUW=ING ISG .,--`_RRIINKLER/DEMOLITION CITY OF EVERETT PERMIT SERVICES iiiiaii 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits (Blue or t lairok Ink Only Please) IPh='OJECT SITE INFORMATION PROJECT SITE ADDRESS: ,0 3 4.bj-t-\' 5t< ki PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) � �V 000NTACT INFORMATIc • WNER NAME: ,��, "Q✓v ----) *Q .--1y4.- TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAiL: ONTRACTOR NAME/x S _1 �[ —`'V`" CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: ONTRACTOR LICENSE#(REQUIRED): CIOF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: • BUILDING PERMIT APPLICATION 4reCV Existing Use of Building: Contract Price of Work:$ k. �. C s- Proposed Use of Building: • Heat Source: DGas DElectric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached GDuplex ❑Multi-Family-#of Units: ❑Commercial El Industrial Type of Project: ❑New DAddition ORemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: * SAI VVcd—ei" 10 _ ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMi ATION PLUMBING PERMIT APPLICATION I Type of Project: New Add \4Iteratio _Repair Type of Project: New Addn 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 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 Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water 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. .....e.....t,\___ -_Dw....‹Lti) C tVe-t/6 -1._, City of Everett Official Use Only Owne Authorized Agent Signature Date (Revised 9/23/2096