8802 EMERSON PL 2020-02-06 - Laserfiche WebLink

PERMIT APPLICATIO- /Ig/—A. BUILDINd"WhECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES .2y J 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: S g 0 Z £v....g_f s cul. P( PROPERTY TAX#: 00 41g 2.5 o O 136 0 1 0 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: 6 toe r Jr C rc.NA TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 0 go r- is �'y�,�,Q,. s0,.\ P1 CITY &V c- t tc STATE 1..J D..,, ZIP 9T ZO 1 OWNER PHONE: Li 2.5 So 1 ?i•-/ I OWNER EMAIL: knbCrw•.1 /Zi czeha.i I. C6ry CONTRACTOR NAME: 7 iv1{4 r 1 s kV);H-,S yiQ C. CONTRACTOR ADDRESS: STREET 7 11 6 z, ZU i'(" s4 '5 UV CITY fl I,JV yl4 GrA, fy-t-rix.0 t, STATE (J0,0t- ZIP CI SO)%-i 3 CONTRACTOR PHONE: 7_0 c 3 6 2. 3 yl 3 t. CONTRACTOR EMAIL: /Y 1-6--L,1 SI.,;4 LS f vt(_ 6) t.. NAd.a. Cc CONTRACTOR LICENSE#(REQUIRED): I`I .TM_.L*I 4(C & CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):0 510 Z 1 PRIMARY CONTACT;,..Zi.OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: LI"L.S_ S'O 1-$ , CONTACT EMAIL: gsdko Cs ..� t3o�Gr�,,� fZ� C� :1. C� BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ "t,OaD;.' 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: -1. IrlS+#\. t �v r n o,,G .ti &r\c - -s,,4 Pi/ivl i ('i:4 1,. 7 r vv, 3 OUA 4 ci 0..spJ P-- ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: ZNew _ 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 NC-Air Handling Units I Heat Pump Toilet Backflow Preventer(Inside Bldg) I Forced Air Systems Unit Heater Bathtub Urinal Z. Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain I 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 �6 L PERMI Va ! I - 1Owner/Authorized Agent Signature I Date (Revised 9/23/2016))