704 48TH ST SE 2019-09-10 - Laserfiche WebLink

01/24/2018 WED 13: 41 FAX Fast Water Heater fa004/006 gos- 3 (a ,011,-- PERMIT APPLICATION f� � BUILDING/MECHANICAL I PLUMBING/SiGN I SPRINKLER/DEMOLITION Imo' CITY OF EVERETT PERMIT SERVICES r 3200 CEDAR STREET,EVERETT,WA 98201 , (P)425.257-8810 ( FAX 425-257-8857 I(E)everettepsneverettwe.gov I wedw.eVerettwa.gov/pennRe ' Blue or Black Ink Onl Please PROJECT SITE INFORMATION )PIROJECT SITE ADDRESS: 1M ' & 51- 5s PROPERTY TAX#: LEGAL for now construction: Short Piet/subdivision Lot No. (attach copy of long lagan description) _ CONTACT INFORMATION _ • OWNER NAME: ��Gf� -S -{N� TENANT NAME(!f Commercial): OWNER MAILING ADDRESS: eme_Ery+1 i��/Q ,- �] - r� r��rr .V`L i�/1 7 M SUM f ZIP � S!/✓3 OWMER PHONE: � o�506 g c t 5- OWNER EMAIL: CONTRACTOR NAME: • A SI- VI Al e �. 'f'& I�_ CONTRACTOR ADDRESS: sTReEr I. :+1.9.. CAS 'P K-1.0{ S Ci i)(i) X/� `1 QnY 1 ��\ BTATE 21e 1- L? 0 4 I CONTRACTOR PHONE: LOS- LV DP -1--03k/1 CONTRACTOR EMAIL:P'2,m n-5 0TLt�YI-1,0_&, I/IQQI , ( Y11 CONTRACTOR LICENSE#(REQLu RED):� STIAM 1- ftt' R 3% CITY QF EVERETT BUSINESS LICENSE 4I(REQUIRED)57)(453 •PRIMARY CONTACT: CI OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: /^� CONTACT PHONE: t c.0'3Uo 1(✓`'t' � CONTACT EMAIL: p PXy d"'-i- Mill) ii BUILDING PERMIT APPLICA`YiION Existing Use of Suflding $ K " Contract Price of Work;S _ 5g_ - - r Proposed Use of Building:- _ S f4. Heat Source: ©Gas eklectric ©Other Bulldin. •e: ,r:--FR-Detached ❑SFR-Attached ❑Duplex I:Wultt-Famli 4 of Units:____--____ ❑Commercial L7lndustrial Type of Project LINew I iAddltlon I JRemodei -t Repair GT-I.• 0Sign IJSprinkler LIDernolttlon DChanga of Use DESCRIPTION OF WORK: ft\rY) Dqe / \e-eQ\ ce eAf,(AY iC tA)a-- --e)r* \(1.e Od-- -. ASSOCIATED BUILDING PERMIT#(if applicable): _ MECHANICAL,PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New Addn _Alteration Repalir Type of Project: New ___Addn Iteration ,__Repair Fixtures Lief of Fixtures Fleas List of Fixtures Fixtures res List of Fixtures Fixtures List of Fixtures NC •It Handling Units He Pump Toilet Eackflow PreventerSnside Bldg) oroed Air • =ms It Heater Bathtub Urinal Gas Pl•in" :o(ierLavatory(Wash Basin) Drinking Fountain Water HeaterRefrigeration Shower Floor Drain -- - 1 Gas Fire.lace -- Wood Stove Kitchen Sink&Die•coal Grease Tray •sae Range Ducting Dlehwasher Roof Drains C.hes Dryer Hooku•_ c or: Clothes Washer . Medical Gas -- Ran!- ,ood Water Heater ' Other: _ Exhaust Fan _ ,-_ - a Sink Service/Bar/Mo•%tc. Other: -- SPRIN, L. -, - - - -ESSIOH IIIM _ _ • emlcal or W—____,,,,igni , •.of Heads ACKNOWLEDGEM NT.'I neva reviewed this application and confirm the infotmallon contained herein/s true and correct.Work done pursuant to lids permit must comply with current federal,state,and local taw;The granting of a permit only authorizes approved work and no deviations therefor?.Deviat/ons must Ms(be authorized in wilting from the Building Official befdie being authorized under any circumatence i em the owner,ori am authorised by the owner of This property to perform the work forwhlch application lb made, and I comply w/ih the Stale Contractors Law 10,27 RCW And 29aziXA WAC City of Svereif MOW Use Only 4/ . I 4 CI. ,p_ ti— 1 g pERtvl. qz — (:), Own! .uthor e;Ag:nt Signature Data Rev se 3/20 `\J