716 HOYT AVE 2019-09-23 - Laserfiche WebLink

PERMIT APPLICATION BUILDIN_ECHANICAL/PLUMBING/SIGN INKLER/ DEMOLITION /01./ZV;::"'A 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 o C PROJECT SITE ADDRESS: 71 l -+'O AV6 .E// -t-- (Ar4- 11)Zo 1 PROPERTY TAX#:C04{5'$$(3(o 03 I0 0 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) �/ //►► CONTACT INFORMATION OWNER NAME: Vr✓Q4'.1 to D9 t J id_t E I�tJT LEe. TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET SAWV6 A-5 4 13 li il ei CITY STATE ZIP OWNER PHONE: 425-23'1-024.2 OWNER EMAIL: Vtfttln/Ic156,6Z (A wI.Ce.S-4_14.0- CONTRACTOR NAME: SELF- t-tnl►,S 0v414EIG. CONTRACTOR ADDRESS: STREET 5Aims Ac Ash J j CITY STATE ZIP CONTRACTOR PHONE: SA Cr CONTRACTOR EMAIL: 'Slew, CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: gOWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME:/' via PHONE: 425--Z3�1•-024Z. V EL INr d aS CONTACT EMAIL: Vstw'1/i tet., 0 Cp)yt(Lt r/.kd-- BUILDING PERMIT APPLICATION Existing Use of Building: ILL-664. 'Sr I2- -Pvi iite.441 Contract Price of Work:$2 -',0-05 0 Proposed Use of Building: S k'wtt, Heat Source: KGas ❑Electric ['Other _ Building Type: SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project ONew ❑Addition IARemodel ['Repair ❑T.I. ❑Sign ❑Sprinkler (Demolition ❑Change of Use DESCRIPTION SOV W�O.RK: IG j+c..ay...vem.4o i&at l+(JK of iallt VP�f�N ive.„ Cyt—(�e.E.,�n W 4,c.�/ V.L Mt'�4'" 7.1 i;�r(I,� :I'MX 1 1r WO urixdG US Qt - otketn i itch /l ✓' ata.C[/f' ,14 w i*JO WS. (� _ AA 506(4t,u. ✓ tt t��``I �6 .SIC�M1 s�-(�IN�,(,yt i fayw-c,trok--- 'p1 'MA1l�.tOCtS J1n.� p is -Y�q.cls.s # locable? Add t t et sA 6�u—�v�. 1 n b w�ae►-'.niur{G1' t -C aL� � ASSOCIAT D B IL ING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APP ICATION 14"111' vrik Type of Project: ZNew Addn _Alteration _Repair Type of Project: VNew _Addn ili Alteration _Repair #of #of #of #of Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) J Forced Air Systems Unit Heater Bathtub Urinal I Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace irt5tYi- Wood Stove / Kitchen Sink&Disposal Grease Trap t Gas RaageCook.}o1 1 Ducting / Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: 1 Exhaust Fan[threat/ Sink(Service/Bar/Mop/etc.) Other: CoVrtiUV SPRINKLER/SUPPRESSION SYSTEM 1, 'Chemical or Water I No.of Heads 0 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 FE . current federal,state,and local laThe 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.lam the owner,or lam authorized by the owner of this property to perform the work for which application is made, ( i and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only V„,...22 a.,, --,(2..,, Ill PER IT# t cl . 77 tk-----1. ) I Owner/Authorized Agent Signature Date (Revised 9/23/2016) 1