3001 OAKES AVE 2019-11-07 - Laserfiche WebLink

PERMIT APPLICATION BUILDING / MECHANICAL I PLUMBING /SIGN/SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 0#r;-7A 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: 3c.:),e 1 0 q` S it'te PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: 5 do 6 wt v s ew.t, TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET c360 6 ,k tie r- Qe)bf T PeteA.)€ 1 CIN 8 V`e-V tt STATE W ZIP Qi Za OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: `m i 13 2 p PLc.4u4 a i f,,, L( CONTRACTOR ADDRESS: STREET . e 14+ti�IQ CITY C Y('`,!1 4 tV ) 1 t_pity) f) STATE C,,t../6 ZIP cs-2 p Z CONTRACTOR PHONE: 3(26 . ,E' /O ,7 2 6 23 'CONTRACTOR EMAIL:'1fl s IcE i -70(B f 20/0, C®14..,‘ CONTRACTOR LICENSE#(REQUIRED): /14 1 j3 12,2 f x?Os-PJN CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER 'CONTRACTOR D OTHER(Please Specify) CONTACT NAME: f f CONTACT PHONE: 4 6,u.� 141,9(e_ 5/ -t1 , I r CONTACT EMAIL: ,, bo t,,. BUILDING PERMIT APPLICATION Existing Use of Building: S eJ c CixJy. Contract Price of Work:$ (, el-Electric 2.7 Proposed Use of Building: 5 iJa Ca✓..-t,1 Heat Source: DGas e Electric rDOther Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ErCommercial ❑Industrial Type of Project: ❑New ❑Addition Remodel ❑Repair CIT.!. ❑Sign OSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: )0 i ") ASSOCIATED BUILDING PERMIT#(if applicable): ?' 170 ?- 011 MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APP),ICATION 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 5 Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Z Urinal Gas Piping Boiler 5 Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower 4- Floor Drain Gas Fireplace Wood Stove Z Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood I Water Heater Other: 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!comply with the S O e Co i tractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only l7 ----.- 4 , lit*r/� PERMIT# Owner/Au orized Agennature Date (Revised9/23/2016)