1818 101ST PL SW 2020-03-06 - Laserfiche WebLink

#477- PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING/SIGN /SPRINKLER/DEMOLITION 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: i81B 01'0- I SLC) PROPERTY TAX#: W lig' 1 I 3( 1b I OO LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: C,'1-196 a(C1 �.-t9,(124,-,I TENANT NAME(If Commercial): 5OWNER MAILING ADDRESS: STREET .,3 ,t3 y [ -D CITY VEL l STATE OA. ZIP 98 6f V OWNER PHONE: OWNER EMAIL: y CONTRACTOR NAME: Kin5's IJ'e�.� `nk CONTRACTOR ADDRESS: STREET J I J) 1/l`'' l -7-1 CITY L aiL,0 3J STATE Vt/A' ZIP gif✓Y 6 1 CONTRACTOR PHONE: lac al-s---_ (�'j CONTRACTOR EMAIL: TY)j(,�(,4,�.�(,L, ® ,+ _ (x;f� CONTRACTOR LICENSE#(REQUIRED):ki jUvS o j r 4 CITY OF EVERETT BUSINESS LICENSE#(R�QUIRED):0 P573 PRIMARY CONTACT: 0 OWNER 'CONTRACTOR 0 OTHER(Please Specify) CONTACT ,� L/NAME:i Y CONTACT PHONE: ( (j) -9-1 c - LiaLiLi . v\ i.Ai t i I CONTACT EMAIL: 3)L ek tj & J�Al ,i,Vk..teciNvii LINA BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ 10i 1%00 Proposed Use of Building: Heat Source: OrGas ❑Electric ❑Other Building Type: ❑SFR-Detached Ii[SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel raRepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: I 0 '1"-et(It kat.A3 Utitd4- liUdry Sij,5t.cilir\ 1114.4, f-br 1,L . 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 List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures I NC—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) I 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: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water ' 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 an 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 ompl with the to Contractors Law 1 . R W and 296.200A WAC. K City of Everett Official Use Only PERMIT# ______,. 7, -,_// 7 / Z filAOI�CQ2' Owner/Authorize Agent nature Date (Revised 9/23/2016)