5816 WETMORE AVE 2020-01-31 - Laserfiche WebLink

PERMIT APPLICATION BUILDING I MECHANICAL I PLUMBING I SIGN 1 SPRINKLER/ DEMOLITION / CITY OF EVERETT PERMIT SERVICES. • ` N� 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: O I to tJ'erxi Ogle 6 / ,UC PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) • ;e CONTACT INFORMATION C,OWNER NAME: V .! /J/l I�e- -5- TENAI N14 11 """- ?� OWNER MAILING ADDRESS: STREET / 27 • ,,'2,- 5,6, Z 5"Fh S7/4 - CITY geixe u,ve STATE ijAo ZIP 9to OWNER PHONE: 1Y2X (03 C[q/ "x,.- OWNER EMAIL: /rS Aei25'O i/teD )/ja 4 PO• (4 i • CONTRACTOR NAME: e..111141 12-6E'S 27/di;gigs CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: tilt` 773" (/6 f? CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: Ijg#OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: //�� j�� CONTACT PHONE: 1424--/� *773 ct i(Pp5"-� C.-� .f te�"u'/i` 1�-� CONTACT EMAIL: 0-4&1tows( ((6 Valet,(io ' ' • !'�nA,nan ,�yV BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ Proposed Use of Building: • Heat Source: DGas DElectric DOther Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New DAddition DRemodel ❑Repair DT.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: /� Z e e I,)/ DAl IZ(9 n / goC. oirk �, i3-a_4 s 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 #°f List of Fixtures #°f List of Fixtures Fixtures Fixtures Fixtures Fixtures NC-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:1 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,1"-fore 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 w the State Cont•i ors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PER 1r`^ __ �—� � ZZ 707 g) r�1..(v'l P-- • .nerlAuthori;.4 Ag; t Signature ate (Revised 9/23/2016)