2602 59TH ST SW 2019-09-18 - Laserfiche WebLink

PERMIT APPLICATIO' ,�+� BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION !��F CITY OF EVERETT PERMIT SERVICES 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 (BlueoBaskikOyPlease) ,. OJECTSINFORMATION . . , PROJECT SITE ADDRESS: 24,02 5(444-, S- sw PROPERTY TAX#: DW 0Z7 0000000 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: K QP bURM e Pt-1(Ilaktvu) T TENANT NAME(If Commercial): r OWNER MAILING ADDRESS: STREET Vo.O 2.... 5 4*` Si. SW ,.` CITY E0 elekl STATE i4.1 A zIP 7 Q e2,3 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: (() J .- CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR M OTHER(Please Specify) eek- ). 6-1444- CON ACT NAME: CONTACT PHONE: CONTACT EMAIL J Im@ SUn ,9,•'' ,5n,it. BUI .DIING PERM0,APPUCATION -';, Existing Use of Building: Si Nke. -cOlm<<`( Contract Price of Work: 4 SI(5.J-9.80 Proposed Use of Building: S Heat Source: ❑Gas ❑Electric 00th: Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑C• ercial ❑Industrial Type of Project: ❑New ❑Addition %Remodel ❑Repair CIT.'. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use D CRIPTION OF WORK: Eleako 2moeta c 00 tee ism ar\i tc.4, 12r1C1ASit_R dad—" 3 tris wags 4 rcb-C ASSOCIATED BUILDING PERMIT#(if applicable): . MRCHAl41034L PE10411 APPliC SON . pCiIM01NG PE4IIIiT APP00AY1te Type of Project: _New _ Addn Alter. on _Repair Type of Project: _New _Addn _Altera _Repair Fixtures List of Fixtures -xtures List of Fixtures Fi orf Ps List of Fixtures Figures List of Fixtures NC—Air Handling Uni - Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heat- Refrigeration Shower Floor Drain Gas Fire. .ce Wood Stove Kitchen Sink&D' •osal Grease Trap Gas -1 nge Ducting Dishwasher Roof Drains C: es Dryer Hookups Other: Clothes -sher Medical Gas ange Hood Wat- 'eater Other: Exhaust Fan ' (Service/Bar/Mop/etc.) Other: SPRINKLER;!SUPPRESSION SrYSTEM , 'Chemical or Water + 1No.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 properly 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 PE T# el i, . a g 10, 1 f Ow uthonzed Agent Signature Date (Revised 9/23/2016) \ N. ('Z