25 60TH PL SE 2019-09-10 - Laserfiche WebLink

4trr PERMIT APPLICATION BUILDING /MECHANICAL/PLUMBING /SIGN/SPRIN ffigilI CITY OF EVERETT PERMIT SERVICES U Re 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits WM i fLi,= ;y °:4 IT N '6 'm iia Mir. yi` rtM* . '��„��R�� d1QN �� ;� �k .st��ms's � L,� .��a��,� � �� __,�u PROJECT SITE ADDRESS:.)T," -m pt QE- PROPERTY TAX#:( el id I 6100400 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) ��y , 3�, Co .ATI ORMA IONS ' ~ .�;,�"`,� `.� i..:-i wP 4,y =� wr � �i I e��';-. F i�6p I� ,�,��..�.Y �„�;1� a�- ....6 �..�'1:'i�I rrF�'�..�i y -1�..�i�`�� '� fi t. ' .iia i ��r 0 y. OWNER NAME: (Man �QIhCA. TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET-v5✓ G( * 12\ 3 CITY t'IV .-- ///�STATE AZIP . 87 X125-`� /�Ail( , i�OWNER PHONE: �� Y1 OWNER EMAIL: ��/V�, �/U Y !( 01�1 .coo-) , CONTRACTOR NAME: Nu F( 6.1 f CONTRACTOR ADDRESS: ` STREET �/1t\62 /y 11,0141 -- jJ /A CITY M 1 ) 1tT A�( I/ TIM{( . STATE ZIP CliC)j,3 MayV� "`« CONTRACTOR PHONE: HD'? 1 1 1131 ONTRACTOR EMAIL: Ifl i �ue• y�p/�/ i CONTRACTOR LICENSE#(REQUIRED): W_LUG F � CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):()_=-7---2:)C') PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CO CT NAME: CONTACT PHONE: 1/1/4,1,1- 1—1\ - 1 vl 04 CY� V1 Wil CGr-'� -- CONTACT CONTACT EMAIL: \ - ( fl K �1I ' p artQC 1 �1� i � ar ,_ o�� i9 aN. 0BU _aNV"[*E:kMTIP*aditf ON _n iXP5J, mok V- Existing Use of Building: Contract Price of Work:$ 61' Proposed Use of Building: Heat Source: *as ❑Electric El Other Building Type: aSFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel Wepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OFORK: \) . a�IG YAnd QCT ei4On9e ail - ASSOCIATED BUILDING PERMIT#(if applicable): y.'i MECHANICA_L'PERMIT`APPLICA1IOIN"' r'` f," "u" `;` r° ni mPLUMBING PE0lI 0:0,0C/1TI„ONS , A 1 y , „;i Type of Project: _New _ Addn AlterationRepair 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 A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) ki. 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: wy'''�� ISP,RINKU:ER/SRP ►RESSION SYSTEM' ”' 'Number 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, nd I comply with th-State Contractors Law 18.27 RCW and 296.200A WAC. I City of Everett Official Use Only • i PERMIT# J ,i � � ( � 6l5'o4_pad Owner/ utfior -d t '.nat Date (Revised 10/12/2015)