9931 19TH AVE SE 2019-09-18 - Laserfiche WebLink

PERMIT APPLI ATIOrL BUILDING ECHANICAI1/ PLUM ING SIGN /SPRINKLER/ DEMOLITION �� CITY OF EVERETT PERMIT SERVICES ��wl` 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 (Blue or Black Ink Only Please) PROJECT SITE INFORMATION / �+ PROJECT SITE ADDRESS: eN 3 t t (4AVEG ` , � gi ti6Kt 1T PROPERTY TAX#:2.21057. .00 387cj LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: '16sivit. �\r b TENANT NAME(If Commercial): gr Ar-4, 14 -a OWNER MAILING ADDRESS: STREET F 11 S I l‘i ti'► Alit- CITY <V-CITY V e v.e°tt _. STATE V rt ZIP e g z/b OWNER PHONE: (2 a b) 35 ' 1119,4 OWNER EMAIL: S MAI 0...- 0-4ANA f,I iJG .GOO CONTRACTOR NAME: TOO' -Ra(i'1 CO 11 r4iz+,°P1 P J ' 1 CONTRACTOR ADDRESS: STREET l ) -'' 94 41 EGt5"t' CITY "f-t t e) STATE INA ZIP 0(0+2,4 CONTRACTOR PHONE: (2 S3,) bob- I1-25' CONTRACTOR EMAIL: ‘c3,111;Uc.8jOe-lit4l , (,duh, CONTRACTOR LICENSE#(REQUIRED): .TO6 f'1'P\GA,2$1 Fr CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR IPS OTHER(Please Specify) Apal 1-M0 T' CONTACTNAME: ( CONTACT PHONE: (4 2. ) 0 4B-• 241-c ^ F'I I �Q t g e"-1/!'01 CONTACT EMAIL: voleany-41147 I g r 14,51,I nom, , c-oivi BUILDING PERMIT APPLICATION Existing Use of Building: Izei-Rt I FU121 C - $*O re„ Contract Price ofWork:$ L . Proposed Use of Building: NY►� Heat Source: I3//Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: Commercial El Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair 'T.I. ❑Sign OSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF wnov. r iac2 £oki%k. 5v't t\e '4a( f jtA e w . ASSOCIATED BUILDING PERMIT#(if applicable): 13}}i e -01 I 4-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 if Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater ____Bathtub Urinal Gas Piping Boiler 2_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 — I Range Hood ^ m t 5 t o.., D(q —Water Heater Other: Exhaust Fan Ill w,X 1C ': Sink(Service/Bac/Mop/etc.) Other: 14-b SPRINKLER/SUPPRESSION SYSTEM / iCawu fi. 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. City of Everett Official Use Only PERMIT .3 /,‘ , i ..324,4)vL., /0, f e le I 9 uthorized Agent Signature Date (Revised 9/23/2016) ' 2-