1712 HEWITT AVE 2016-05-23 - Laserfiche WebLink

2016-01-14 10:25 OFFICE 2066322239>> 425 257 8857 P 1/1 • PERMIT APPLICATIO• "IIP/OZ/ A BUILDING / MECHANICAL/ PLUMBING /SIGN / SPRINKLER / DEMOLITION CITY OF EVERL I I PERMIT SERVICES „410_, ' 3200 CEDAR STREET,EVERETT,WA 9$.201 (P)425.257-8.810 I FAX 425-257-8857 I(E)e•verettepsCieverettvra.gov i wskw everettwa.gov/permits r*OJECY$ITE IfatiAYION PR )ECT SITE ADDRESS: ,«� i% If J i 4 !_ 1PRQPERTY TA .:004 7 l 1 � � �{, 3^,) LEGAL for nevi cbnat ucaon. Short Ptas/sundreyrri _ Lol No L/Ll` 1 c d} do n/sa,o) CONTACT INFORMATION OWNER NAME: fYiak-rAAti. -7 ei--. TENANT NAME(H Comrnertlal)• 1 Ln �J (r � C r -,f� OWNER MAILING ADDRESS: s 1sT PA --) (=0 /��/�/yJ)J/f 1 //� j (// ^) CFDI i�L L I� e:/ STATE 0 ZIP • t!CZiSTATE 1i( / ` zipq l/ G O 1 OWNER PHONE: OWNER EMAIL: t� ! - CONTRACTOR NAME: Jo �. t - r_f Lu 5 o. 14`1(• G'7 f r t- _3 CONTRACTOR ADDRESS: STREET / 7/ 5 /1-7-e-- iv c,..) ( r,,(7 ,_....._ crry __` - - STATE / zip ' "/ CONTRACTOR PHONE:4/ 3--�-32 -__?20 2,5 CONTRACTOR EMAIL:t.`t"XU r i yet }-�J1)6i,.�6�cS 4-C-0)1) 1 CONI RACTOR LICENSE r{REQi1}p,ED): f r £L ti ¶ g (/> CITY OF EVERETT BUSINt�3S LICEN 11(REOUED):O$ 3" PRIMARY CONTACT: ❑OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE .-.125---__ -3 9,. S-- �.eXj)Y-yt tiyUl CONTACT EMAIL. [_'0 3�. j..., 'Y AGK � ? �1� 6}7LlS .(1.,‘P '1_, BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: $ Proposed Use of Building. Heat Source: ❑Gas ❑Electric ❑Other BuikiinQ Tie: ❑SFR-Detached aSFR-Attached ❑Duplex ['Mufti-Family-0$Of Units: ❑Commercial DIndustrlal Type of Protect: ❑New ❑Addition [Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition OChange of Use DESCRIPTION OF WORK: 1 l i 2 AC IL �dfVejOet/d4/6 ASSOCIATED BUILDING PERMIT#(`applicable): _._« MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Prciect: Now Addn Afterution Repair Typo of Project: New _Aden , tteratlon Repair Fix-twees LIM of Fixture, ' q wns fiat of Fixtures Fixtures List of Fixtures Fixtures Llst of Flrtures A/C-Air Handling Units Heal Pump Toilet , Gackfow Preventer(Inside Bid ) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping yBoiler 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 [Number of Heads ACKNOWtEL)GEMENT:I have reviewed this appfcaiion and confirm the information contained neon is!rye end correct Work done oursuent to this permit must comply van currant ford/.Stat and local law. The granting of a permit only aEthonzey approved work erg no tlev,atlons therefrom Deviations must Vat to authoazod in writing from the $1.4•1N Omciei i . . being authorized under•ny circumstance I am the owner or I am authonzeo Oy free Owner of MI5 property to perform the work for which application is made, orad I Comply •the State Contractors La 8.27 RCW end 296 200A WAC City of Everett°Mae,Us*Only PERMIT# / � ( ' ` e 4 2-r, 16 r"�� )/ i( Own • .". .4§41A;ant SI. ure Date (Revised 10/12/2016) J �E