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

PERMIT APPLICATII'iIII BUIL= /MECHANICAL/ PLUMBING /SIMI—SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES OLT 3200 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 PorzGEt_t Fsc k b00000\oj PROJECT SITE ADDRESS: ZS k1 ek' 1 e \'). C—.te42etr‘ 9.-4-2.z Li PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: c-orr tAR, TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: SCAB VR. CONTRACTOR NAME: MAV--,E. p(„UMe•I/%)(3- P `)141zNt tJ C1-- t J I Ai& U CONTRACTOR ADDRESS: STREET wn@�j,'a�$ TSS �Ig�� L — 12D CITY t V/\i v STATE 1/Vet ZIP et 0 3� CONTRACTOR PHONE: -1 LL' 'j -tY2o( CONTRACTOR EMAIL: rn%1C ,,.,: al, •b( tv,Sr•Gov, . CONTRACTOR LICENSE#(REQUIRED): M\ -sec c\` T' CITY OF EVERETT BUSINESS LICENSEREQUIRED): PRIMARY CONTACT: 0 OWNER ACONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (.4,2 - o'2„,3 t Z'(e act'�j M 1"E-E• CONTACT EMAIL: rro BUILDING PERMIT APPLICATION J Existing Use of Building: Contract Price of Work:$ Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: •(O ek - RA40 _S2)x1...)(2.0_6 ASSOCIATED BUILDING PERMIT#(if applicable): 2) f\ 2' O03 MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New Addn _Alteration _Repair Type of Project: _New Addn ILAIteration _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 L. Bathtub Urinal Gas Piping Boiler L. Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove LI Kitchen Sink&Disposal Grease Trap Gas Range Ducting L,( Dishwasher Roof Drains Clothes Dryer Hookups Other: l Clothes Washer Medical Gas Range Hood Water Heater I Other: hoSP_Aot,l� 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 PERMIT# X51«' (304 - 601 Owner/Authorized Agent Signature Date (Revised 9/23 016)