2208 60TH ST SE 2019-09-10 - Laserfiche WebLink

PROJECT SITE ADDRESS: a v 3r O�I1 S ! S IPROPEF AX#: I LEGAL for new construction: Short Plat/subdivisici: Lot No. (attach copy U:rung legal description) CONTACT INFORMATION OWNER NAME: n,„; , c.(.t,„a__+z TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET - 5 (,0+1.q.. .S i- .51— CITY t_�e STATE l it' ZIP �.J Z.C'.3 OWNER PHONE: t-I -s--_ j C_/7 - (o .3- OWNER EMAIL: NIP CONTRACTOR NAME: /t/L11V)ct+tA(,vasiC S CONTRACTOR ADDRESS: STREET i g�Z 1 j ) -}-1,, 1 -e- in._ CITY 1* -1 'i‘71-c:;,-, STATE w /9 ZIP 7,57...?��3 .- CONTRACTOR PHONE: S-C Is-'i 5 -/5" CONTRACTOR EMAIL: /t bc.1- v. ✓C-l�itil ) Jc c i'-• CONTRACTOR LICENSE#(REQUIRED):NU/Biq 77?77?/.....g_s— /7Y CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 5---/j L•( PRIMARY CONTACT: 14 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: L4 a5" . 3 t:i _ 3c,3 OC-U.1 d S(_ x.A_ )-•Z CONTACT EMAIL: /0/0 BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$_ Proposed Use of Building: Heat Source: ❑Gas glElectric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: CS lew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Reef ckc.2- o 5 l 1-eGfiv` C k,._„, -f— t„,,,,...-1-0----- --,4,..(,„ Ic G.,.,/ d---[_. yt,,,, 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 #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—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 I 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 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 1 am authorized by the owner of this property to perform the work for which application is made, end I comply with the State Contractors Law 18 27 RCW and 296.200A WAC. City of Everett Official Use Only r z- t s Pte.#[20( —02 Owner/Authorize• ••• t Signature Date (Revised 9/23/2016)