31 56TH PL SE 2019-09-10 - Laserfiche WebLink

PERMIT APPLICATION et... 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,govlpermits (moo or Black Ink Only Plsa*.) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 61 y .- Y U}"t se, arEv 3 PROPERTY TAX#: L ?453& ?OIO Soo LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: //y1 ar j/,/l ', TENANT NAME(if Commercial): OWNER MAILING ADDRESS: STREET / y�)%/ 13/ Pate-', 511iS �r y CITY O • OAJ STATE At ZIP '980.47 OWNER PHONE: 629,3 - 320- /if/ OWNER EMAIL: aunee. f o t ,( -.,-i ` ,e.., CONTRACTOR NAME: 7 {,/r A4,^, 7)A/cFi'Vt 11t!. CONTRACTOR ADDRESS: STREET -�yI Rs 2 Li /', ' 4 vENu 6- 3 #/air /J 5� CITY te^Y'l X '" STATE "' ZIP "/2JO CONTRACTOR PHONE:'125--�5s^Q/// /�?�_��CONTRACTOR EMAIL:/ Rt6Tyeet)} j 7 PA , &M CONTRACTOR LICENSE#(REQUIRED):1.4JJ 0 12 LZ 4 CITY OF EVERETT BUSINESS LICENSE#(REQUIRE : ( 3 ,5 PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: .�-F�/� CONTACT PHONE: 1425—4,g5-01// 14 /<JZtsr y ► OFF CONTACT EMAIL:h/�ISTNI .,' +'t' '.O. . 1 '°`i1I // . BUILDING PERMIT APPLICATION 17: Existing Use of Building: 5'F/C. Contract Price of Work:$ ,/d ,ft _„T,_„ Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Budding Type: IFR-Detached ❑SFR-Attached ❑puplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel 1:34tipett ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: R no U-G ali po5-t a / Z/2871411 LAPD 0r)1 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 #of List of Fixtures #of List of Fixtures #of List of Fixtures #°f List of Fixtures Fixtures Fixtures Fixtures Fixtures NC-Air Handling Units Heat Pump ToiletBackflow Preventer(Inside Bldg) •Forced Air Systems Unit Heater Bathtub . Urinal Gas Piping a 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 M Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range HoodWater Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM r Chemical or Water I No.of Heads ACKNOWLEDGEMENT:I have reviewed this application end 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./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. City of Everett Official Use Only /// PERMIT sO 03 2_ .4i, Sig 't'". Da a (Revised 9/23/2016)