207 49TH ST SW 2019-09-10 - Laserfiche WebLink

• ellJe.,„.-4PERMIT APPLICATIOM BUILDING /MECHANICAL/ PLUMBING /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: Re? �/aj 744 S,. „TGe> 6-,,,,,, 9d'eaE PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: 4/5/4 et„wh/71r y 722e.24 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET la()4417 386 CITY fea.e f WC-0 WC-0STATE do/1 ZIP ,T2 7 6- OWNER PHONE: /{.ZS .5 8 3 3 8 Z - OWNER EMAIL: 4-41.k .Jc✓'v,`ces e e„..„5 J, cadr., CONTRACTOR NAME: 5ef2er Pl6(/116/0€5 CONTRACTOR ADDRESS: STREET /5 /7 GC)QS744.J,c k Q041 cm, Sti.)04 OAP//'S 4 STATE G?)1f ZIP IT 74) CONTRACTOR PHONE: 30-,6-6?— /98yCONTRACTOR EMAIL: o4 tce e.se`71'ZC✓ 4.(l(Li25. COfe CONTRACTOR LICENSE#(REQUIRED): se TZE!"n 14-l/D sc. CITY OF EVERETT BUSINESS LICENSE#(REQUIREDD�) IJ�+tof)29 EB ( PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER(Please Specify) !Q0'0 22✓"LS 057 CONTACT NAME: CONTACT PHONE: 1/2 — 58 3 - 3 a"2 Z Li5A `Tu--a1 CONTACT EMAIL: 1-14,4-4,1 5 eipvic e5. # SN,GO/II BUILDING PERMIT APPLICATION Existing Use of Building: iec5 1ie h Azei &*i/ Contract Price of Work:$ 3 dO G Proposed Use of Building: kes-;".....,47'11 ,e,t7 / Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel LEI'gepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: 2) ,' a,1Cei- lege,^ e.1)Ao1e 11ausc �4e It.es2rb- . P C �rroN� S{�✓ee7< $) 2 Acd e 616S O# 40(41 e 1) Pe ac 5/90,/:, .r.) New to 6,.,0 3 5/60ujci' vcolr.. 1'-O P,c t( fC4/(-1--/CJ v) /Uee-J 6410( $ Ie t er.4...zd- ASSOCIATED BUILDING PERMIT#(if applicable): G)l-e/4se- c sss ta. ,%fe 1sif C'ali'e)/ .90/ee- MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _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 f Bathtub Urinal Gas Piping Boiler p 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: 2 ho4 /4 SPRINKLER/SUPPRESSION SYSTEM / waJ pt/sae) 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, 0 and I compl he State Contractors Law 18.27 RCW and 296.200A WAC. Cit71,...1y of Everett Official Use Only PERMI Owner/Authorized Agent Signature Date (Revised 9/23/2016)