2930 HOYT AVE 2019-09-24 - Laserfiche WebLink

"IIPPERMIT APPLICATION ii f3UILDINA )MECHANICAL I PLUMBING /SIGN I�rRINKLER/ 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 1 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT PROJECT SITE INFORMATION PROJECT SITE ADDRESS: ga V ,14 O 14 `/-I-. a. PROPERTY TAX#: OOLI 3V-46 \-48'4- LEGAL 44LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Otkpr n AranA(69 5 TENANT/ " NAME(If Commercial): OWNER MAILING ADDRESS: STREET a q 0 l io ci<el- /-i„(Z" -V Lit C'1\ / �✓// CITY STATE V`-'•' ^ ZIP ` 690 k. OWNER PHONE: 63-o( 0 OWNER EMAIL: ek js j Cina,t�5i-® Qtr►-la0k,CO m )0(0-q d CONTRACTOR NAME: QJ/C2.__ CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: DOWNER 0 CONTRACTOR 0 OTHER(Please Specify) CO CT NAME. � /NA : ✓ �^S CONTACT PHONE: ,,,23 CONTACT EMAIL: dfilor,;,,,ki.,rik j ea r (-dm BUILDING PERMIT APPLICATION l w Existing Use of Building: 0 v�( it -tx,),(r3 ,Contract Price of Work:$_45a). Proposed Use of Building: 5 0vyr„` Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached { Quplex ❑Multi-Family #of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: (D (sq)(QC e. (pd'rvn c,...) -1(1l1/4.4.3 j In :'JV1-++ S i t.7;NA-N &to e 1--5-3(//e. ' r e rh 0 V e p / fose7t S C H, --4�4O L.x's+, �4r,-� ALJ d s 1-0 ;et e� cod's "61 u'11% ; w7 P`-- ill -V all h ei- t G (V l� 7 rGt I LS Pdv .�teS l=reedam I'D codes-C44c.,f'r�a%Lr-� C - / A SOCIATED BUILDING PERMIT#(if applicable): �/� MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APP ATION Type of Project: _New _ Addn _Alteration _Re••ir Type of Project: _New _Addn Alteration _Repair #of List of Fixtures #of st of Fixtures #of List of Fixtures #• List of Fixtures Fixtures Fixtures Fixtures F' ures NC-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Bas'. Drinking Fountain Water Heater efrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink lisposa Grease Trap Gas Range ucting Dishwash: Roof Drains Clothes Dryer 'ookups \ Other: Clothe. f asher Medical Gas Range Hoo. W- r Heater Other: Exhaust -n k(Service/Bar/Mo etc.) Other: SPRI KLER/SUPPRESSION SYSTEM • emical 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 3/1 //5 PER u�tf in 3- Oa( Owner/Authorized Agent Signature Date (Revised 9/23/2016) Z