805 89TH ST SE 2019-09-19 - Laserfiche WebLink

PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 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: �a 5 ST 5E PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME; 13 rani A het uj TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 5 Z9911 ST 'E CFP( yq STATE �R€ ZIP V yq �+g]�7 OWNER PHONE: 2etc J'L( , 24( OWNER EMAIL CONTRACTOR NAME: ,; r Inc. CONTRACTOR ADDRESS: STREET 14.t' bro ,. - CITY 'tA'\.ze.+ STATE lj IV ZIP4:1 g 20 CONTRACTOR PHONE: 1.„2_5 2 q, 03So CONTRACTOR EMAIL;("' ij €, city�, . t to ,con CONTRACTOR LICENSE#(REQUIRED):.,( ':-'., �f CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):' O(1,9 gy PRIMARY CONTACT: ❑OWNER LS(CONTRACTOR ❑ OTHER(Please Specify) __ CONTACT NAME: n,.,�+^A�ct CONTACT PHONE: 4-2.6 25 7 (:) 5T) PYLa' CONTACT EMAIL: o to t,.,02 ea C,,,,kexi-L .co trey BUILDING PERMIT APPLICATION , ' t Existincg Use of Building: Contract Price of Work $ 1Ln(,� OD Proposed Use of Building: Heat Source: )(gas ❑Electric ❑Other Building Type: SFR-Detached ❑SFR-Attached ❑DUpiex ❑Mufti-Fatuity-#�of Units: ❑Commercial ❑Industrial Type of Project: El New ❑Addition El Remodel ❑Repair ❑T.I, ❑Sign °Sprinkler ❑Demolition °Change of Use DESCRIPTION OF WORK: { � 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 #of Fixtures Fixtures List of Fixtures--- . ,List of Fixtures #of List of Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) WForced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain f 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 1 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 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 PERMIT# — � ? 12.6.1 ) 2 ' Ow erlAuthortzed Age Signature Date (Revised 3./23/2076)