5117 SEAVIEW WAY 2019-09-19 - Laserfiche WebLink

PERMIT APPLICATION■ BUILDING /MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 477- 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: rj 1 17 5-e c v 1 et,) Wad/ eve-re/V-1- wt.., PROPERTY TAX#: 003-41 5Ob30070zLEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: P r(G5(4trvGt ey etc Vet(CT.- TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET i ( 0 13 St 5-c- ur( n-()Yl v LK) STATE a)CL ZIP ft 00 9- OWNER PHONE: t-19-5 al I 1 48119 OWNER EMAIL: 13I.0 4 Lva(-C 2?6 00 ( s CloQQ -COn'1 CONTRACTOR NAME: e9u)Atei - CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 119 OTHER(Please Specify) ?c1fAINtf• __ CONTACT NAME: CONTACT PHONE: Liu 17, oi 1 S- C h f I s fi i un1 (Orb N wkx-Z, CONTACT EMAIL: 1. CCOAJtra,,1-n'c la --jt L Com BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ l� 0490 Proposed Use of Building: Heat Source: ❑Gas lec ' Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex DMulti-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New DAddition ❑Remodel ❑Repair DTI ❑Sign ❑Sprinkler ❑Demolition DChange of Use DESCRIPTION OF WORK: n(_ren)0t17e AL ( r IA, A1012;01 5 r oLre lb ex I SI-)A / / g{,,cif, ?Wn4IN.S , ,us4-a.1L nle� wtnycQo�s t)L.a4 , ✓ 1 P 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 A/C—Air Handling Units S Heat Pump - Toilet Backflow Preventer(Inside Bldg) Forced Air Systems 1 Unit Heater v Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain I Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove t Kitchen Sink&Disposal Grease Trap Gas Range i Ducting I Dishwasher Roof Drains 1 Clothes Dryer Hookups Other: Clothes Washer Medical Gas 1 Range Hood Water Heater Other: t Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM 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 Oa 1/ PEQIT# �^ _ a 03 lie /�V �`[X(\J Owner/ hor zed Agent Signature Date (Revised 9/23/2016) 1