2717 MAPLE ST 2016-05-25 - Laserfiche WebLink

4ETTPERMIT APPLICATION BUILDINC�ECHANICAL/ PLUMBING / SIGN`I I I""RINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVIQCU 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS:/1 1-7 Nl gtv PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision '�`�� Lot No. (attach copy of long legal description) "" . :,,.,,. .,. CONTACT INFORMATION __ OWNER NAME:5)/e-i- I,` Ir/4'L-j TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREET /cope /IA*(r4 ‘">t ; 1* / CITY -1 U eg- STATE �/��/�rd zip qfD f Z OWNER PHONE:K Zc/(2/D -`4S / OWNER EMAIL: QJCr:e/�Flf�-rita �"G4 -5 I Ci3A'YV1/4--- CONTRACTOR NAME 9,ere' ?gr15TALT-er,& ( 0IIed.5 CONTRACTOR ADDRESS: STREET y )3 q,grow.1Wt-/`F b' l�fbZ"5-3 CITY £ i1 w er 4d STATE IRS M. ZIP 9 6° CONTRACTOR PHONE: Lizr5b T D CONTRACTOR EMAIL: I cY�c- mNebte- .SHOD IW13P-th ,a-M CONTRACTOR LICENSE#(REQUIRED)R91)/46"C get5/4t.13 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER CYCONTRACTOR ❑OTHER(Please Specify) oD jo 7 CONTACT NAME: CONTACT PHONE: L/ZSatiS 2"D c?ic - / r1 CONTACT EMAIL ® 16-&491,57?dLT(og)tc e: >tG&v%& a+5+5 . .:TA::,: '';',.•.':';',,:-',1:7-,-1:',7 BUILDING PERMIT APPLICATION _,..,,-. _. ',..1:7;7;',771,7„;-,7-"it'..` �a, .:�r f .,., � Existing Use of Building: Contract Price of Work:$ /7/ BOC , Proposed Use of Building: Heat Source: OGas ❑Electric ❑Other Building Type: 116R-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: �� ❑ ❑ Commercial Industrial Type of Project: ONew ❑Addition ❑Remodel El Repair DTI. ❑Sign ❑Sprinkler L�Dem/olition ❑Change of Use DESCRIPTION OF WORKrp$mo 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 #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 Number of Heads ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct.Work done pursuant to this pennit 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 0i/_ [ z 5 PERMIT# - /11 715 l l no wner/Authorized Agit Signature D. e (Revised 10/12/2015)