1802 75TH ST SW 2020-02-25 - Laserfiche WebLink

k*TT PERMIT APPLICATIC BUILDINu / MECHANICAL / PLUMBING / SIGN i SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 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: 18O�, 75f'i., SF, SW Eyelet, (V/q mo3 PROPERTY TAX#: 0039aa C)QXO 3co LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Sno 611\5\ COhn`_ Ptit D TENANT NAME (If Commercial): OWNER MAILING ADDRESS: STREET Po Qox 1 10 7 J CITY �' ' e it STATE V,v ZIP 98 d06(7/�/ ` 110 OWNER PHONE: (1;S) 7 83 " 1001 OWNER EMAIL: CONTRACTOR NAME: O i yuf5l'y AiiCGlnwuW C2,(14-nr-C�G�f) CONTRACTOR ADDRESS: STREET ! 164 L-191-11 Pl0.Ce Wcj' CITY 1A .(111.-i'`•l{e.O STATE WA ZIP 5i8 a7 C—9,257s. CONTRACTOR PHONE: (aQ 6) /, ;1, i i' �/, 7 bti30d1s 3 CONTRACTOR EMAIL: J bray&UrriC1,COM CONTRACTOR LICENSE#(REQUIRED):# L) /vI V7VY.'343/v/ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 00 67t, 6 PRIMARY CONTACT: ❑ OWNER ,,CONTRACTOR ❑ OTHER(Please Specify) r u CONTACT NAME: n CONTACT PHONE: (a06) 1p ! 3 —0 9 C3 Y .- 3IOj CONTACT EMAIL: obrol0A-me,,coM BUILDING PERMIT APPLICATION t— Existing Use of Building: C -C Q Contract Price of Work: $ <] fid( Cec) Proposed Use of Building: Heat Source: ❑Gas DElectric I$Other 'f-J-a-S/R. Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: %Commercial ❑Industrial Type of Project: DNew ❑Addition ❑Remodel DRepair KT ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: q c-}-4(( 0/) n eW c(%r 11.c k) J vi;-f- -fa Ae 9 f ec./v -/-as, -f'h,L 10,,,i',z ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New Addn X Alteration Repair Type of Project: _New Addn Alteration _Repair #of #of List of Fixtures List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures I 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 INo. 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 Offcial Use Only nly -.oftPERMIT �i ' I Z/� /( rb M\,2, - bl'l Owner/A thorized A.• ignatur• Date (Revised 9/23/2016) i2--1