8306 11TH DR W 2019-11-15 - Laserfiche WebLink

P , '1411.P. PERMIT APPLICATIO BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION solf/iY---"t `etil CITY OF EVERETT PERMIT SERVICES 32 00 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: j"jb(p — if ill b Q.1N6 id. €VJe'Tl PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision LA Id i 5, A' U. Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: twitaNgh 4,4500 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET ,Vmot ck t woof. 24!o- c O `7: 5e.CITY 1,1$1,00 5/V006 446/1 STATE 14114 ZIP 9,6290 OWNER PHONE: Lo50.-zQG}' 6640 OWNER EMAIL: ileag�IrI.1191ZA1£ILQ 1? 0-111rWL4 ARC/1. CONTRACTOR NAME: Calcwr Ctiro JItzuc7DA1 ax, CONTRACTOR ADDRESS: STREET 35z4,- whim /o?2N,j Pt_ CITY ty/l.P/Vii/e1P0 % STATE (,J}1 ZIP 98087 CONTRACTOR PHONE: *Zap ZZS OZSCJ CONTRACTOR EMAIL: /2b/1I eormcgarcodsf ?cne,-n]• leNi CONTRACTOR LICENSE#(REQUIRED): CoAlCa..E3q3k4 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER EtCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: ( y )Z25 Mgr? !V Kier-; .640:t C - CONTACT EMAIL: /2tyd eaCooc t',O/g51—RaCrb,J+C9 BUILDING PERMIT APPLICATION Existing Use of Building: /PtULft -riling"( r( Ike,/ 'Contract Price of Work:$ Ud r-iVerth1 Proposed Use of Building: (hul rJ—FmnIl4 Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex aMulti-Family-#of Units: 4 CI Commercial 0 Industrial Type of Project: ❑New ❑Addition ❑Remodel I Repair CIT.!. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: � C. l_.cx* rriz -SSfs ArlsA 124)0FIN4/, FINIS,* INi VI 9° . C 6d1 /N,,,1,K./ tt c j karniifN't, ay1N15ti 5�. 1.01144 II?O 1' ROC,F Fief, Alp ASSOCIATED BUILDING PERMIT#(if applicable): Ale-961-m IT 1IJSPdGTjOo) ee 606"5/21 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 Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler 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 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only __ 1110 PERMIT# owner/Authorize._ •-. Signature Date (Revised 9/23/2016)