1520 80TH ST SW 2019-09-18 - Laserfiche WebLink

PERMIT APPLiCA,TIOI- "ow BUILDING 1 MECHANICAL/PLUMBING I SiGN I SPRINKLER I DEMOLITION v 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 1 www.everettwa.gov/permits • {blue•®r black Ink®.nly_PIOase•) . . • PROJECT SITE INFORMATION .• . . PROJECT SiTE ADDRESS: /5-00 v Viet i, ✓q r 4 PROPERTY TAX#: die,3g 2- + 7-?d/ LEGAL for new construction: Short Plat/subdivision Lot No. ' (attach copy of long legal description) _ ..CONTACT.iNFORMAY'ION . •. • • -• • . OWNER NAME: 3b ,t(,// 41,-• TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET OO (./4t 01'(i! C.&CIO 7. Si/0LO CITY Pd114-5 STATE Tt ZIP /5LO/ OWNER PHONE: C �n.6 �,/� OWNER EMAIL: CONTRACTORNAME:pN�'mCU .....'?7 r421-0: ._ �?tif-fCerW�6� ................. .....,.,..,.,.. ., ,..,,._. . .. .._ CONTRACTOR ADDRESS: STREET #2-- .2..0� i t cacv • CITY •Fr UR/Ani- STATE W A— ZIP 6M20/ CONTRACTOR PHONE: 4°Z5.2c2.Par/q . CONTRACTOR EMAIL: /14,414& 014.440 _6,, CONTRACTOR LiCENSE#(REQUIRED): COG12.6.SS 02.2.0 CITY OF EVERETT BUSINESS LiCENSE#(REQUIRED): 43 6.7 4'15-5- • PRIMARY CONTACT: 0 OWNER I&CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 4 7s--25-2 d,// / fait% Plitt/ CONTACT EMAIL: /4/40.i (a7 1W/t/e.-A ,, . BUILDING•PERMIT APPLIICATiON • • • ' • • • • •: Existing Use of Building: 14 1 Price $ /5-,g DO Proposed Use of Building: I i'P Heat Source: Was DElectric ❑Other Building Type: ❑SFR Detached CfSFR Attached ❑Duplex ❑MultiContract Family#of Units:ofWork: giCommercial ❑Industrial Type of Project: ❑New ❑Addition CI Remodel f[Repair CiT.I. ❑Sign ❑Sprinkler ❑Demolition DChange of Use DESCRIPTION OF WORK: 1 �✓- 'eV BUILDING PERMIT#(if applicable): .NIECWANICAL,PERMIT APPLICATION 0 • • PLUMBING PERMIT APFLiCATI®N • Type of Project: New Addn Alteration k Repair Type of Project: New Addn Alteration _Repair #of List of Fixtures #of #of List of Fixtures 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 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: .Bl:41I61fCLER/SIIJOPRESSIO.N 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.l am the owner,or 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 OfficialffUse Only f 0 t z/t 3 / / PERMIT [ 7 i -v K/D Owner/Authorized Agent SI ure Dat (Revised 5/20/20 6 9 9) I .