1406 WETMORE AVE 2019-09-17 - Laserfiche WebLink

PERMIT APPLICATION BUILDING /MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION 1477- 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: /40-(7 (/Viej Mc:rt 4'\./ . £J1(e4 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: 1)t 0,,„t___ 6 r G c,L S TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET /q()G (Aidirl'l it C Ait CITY LA_(Q 4 STATE /J. ZIP OWNER PHONE:( e-,AZ5) 7 1'7 •- C, 406 1 OWNER EMAIL: CONTRACTOR NAME: Cc ICC( s 0" Cd in 54-r.-i-.11 rc L CONTRACTOR ADDRESS: STREET 4/9 7 4` Y t- 6 6.7 7i^ 54 N / CITY t,r\,/�V t 1 k STATE (n 4 ZIP z,7 J CONTRACTOR PHONE: L/ 5, --- 30 - GD Z'l CONTRACTOR EMAIL: , v e.C-d neje I/C:44,.(CIL➢--�f-on-ft e r . C—d,,, CONTRACTOR LICENSE#(REQUIRED):eULE !. LI 7.T' CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):05 1 Zifat PRIMARY CONTACT: 0 OWNER 14CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME//1 CONTACT PHONE:( ,V2,___.) -2 0 _ 6.c.) Z7 Cck e fSc,,-, CONTACT EMAIL: MA Ern Si t„(-4 tor` f an-V11.. f . Lo BUILDING PERMIT APPLICATION Existing Use of Building: k e5 ,4,,n-1,6, k Contract Price of Work:$ 7»`D Proposed Use of Building: Heat Source: as ❑Electric ❑Other Building Type: SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ItRemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: i?"- n4e CIL-4 C-"A"`.-c 'e2 � ASSOCIATED BUILDING PERMIT#(if applicable): �J k C)/(0 ".019 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) I Forced Air Systems Unit Heater Bathtub Urinal I 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: 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 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. Va4 8 City of Everett Official Use Only 'f 4 1 IA--—-"---<."\t---"‘ E P MTI# (zQq lJ )� Owner/Authorized Agent Signature Da (Revised 9/23/2016)