4806 SEAHURST AVE 2019-09-24 - Laserfiche WebLink

PERMIT APPLICATION /111111/04Z/V----A 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 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 4s)4 5EAIWKST AVE_ PROPERTY TAX#: 0015 05700 66540. LEGAL for ngw construction: Short Plat/subdivision./MAPLE (1-611 • Lot.No. 1 (attach copy of long legal description) , cc fkA-- CONTACT INFORMATION OWNER NAME: .. L10'eIv , ` 1'0 N -. . , UBNANT NAME(t1 cuiun ercial); OWNER MAILING ADDRESS: TrRE/442)0(p sf..444sr AV E_. +��h, Qfl Y e,,r , , STATE 9 8,20 .LP OWNER PHONE: OWNER EMAIL: • CONTRACTOR NAME: r-R.(K, Cfl R.1 S T NSOt-t Zee. RRV CZ t Dm) L.L.C.. CONTRACTOR ADDRESS: STREET yx,,� L'7/ ,Q CITY ep1"LONa� WET/�- '1 O2-TATE 11��LP CONTRACTOR PHONE: W 6-027e('0411 CONTRACTOR EMAIL: Qr"t �L1Q�COYlSTrVG}1D»I -. c biy, CONTRACTOR LICENSE#(REQUIRED): '�J t{s, Lt?S -D I CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):Nett 4 PRIMARY CONTACT: ❑OWNER ONTRACTOR 0 OTHER(Please Specify) 2A0?) CONTACT NAME: e/LlIZ C kigre-A OAJ CONTACT PHONE: Z061 . (j ?j . c' 4 71 CONTACT EMAIL: 41/4. , BUILDING PERMIT APPLICATION Existing Use of Building: '' Contract Price of Work:$_ I I COO Proposed Use of Building: 5rtz- Heat Source: ❑Gas ErElectric CI Other Building Type: QR-Detached ❑SFR-Attached CI Duplex ❑Multi-Family-#of Units: ❑Commercial ['Industrial Type of Project: ❑New ['Addition 11Remodel ['Repair ❑T.I. ❑Sign ❑Sprinkler ['Demolition ❑Change of Use DESCRIPTION OF WORK: CCrATE NEW 'MIA (IQ orpeg. pcvo . Ivo stituGZUR44,-c— C�tkN 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 Heat Pump I Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler / Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration I 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 ' INo.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 lam authorized by the owner of this property to perform the work for which application is made, and/comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only l(jUj/341(1 �. Y\ LI. 1�.2-o PERMIT#n Owner/Authorize.argnature Date (Revised 9/23/2016)