602 WARREN AVE 2020-04-03 - Laserfiche WebLink

PRIT III EUILDIN 1 MECHANICALS PLU RING I SIGNN/SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES • 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 PROJECT SITE ADDRESS: 602_ 1AA,Ere-1 4 ve PROPERTY TAX#:QO 5 /70(3 cDO /O LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Nq it-e f ,(c1--ex //p ft TENANT,NAME(If Commercial): OWNER MAILING ADDRESS: STREET (p O Z O.trre..1 AV✓f CITY 4 ve/'e' '., STATE 14/`7" ZIP ?poi OWNER PHONE: Lf02.5- 5f Z - '7 3 / 5 OWNER EMAIL: 04-11-C GI.o t¢ Zoo Z Y et(,t oa• CONTRACTOR NAME: ®w u CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTORIEMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: [Ki OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: /141fe / D /f CONTACT PHONE: La 5, S/Z - 73 ! S CONTACT EMAIL: n a7Le G1.o(f Zpo Z e re 4.0. c v— BUILDING PERMIT APPLICATION Existing Use of Building: Contract',Price of Work:$ Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: C ISFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: 93New ❑Addition ❑Remodel ❑Repair DTA. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: DK ec ) vnuover-ed 61Z. 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 Listof Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixt -s Fixtures Fixtures NC—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Gas Piping Boiler Lav tory(Wash Basin) Drinking Fountain Water Heater Refrigeration Sho er Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Dispo Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Drye ookups Other: Clothes Was Medical Gas Range Ho•, Water He r Other: Exhaust 'an Sink(S ice/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water 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. / lto City of Everett Official Use Only v(/r / 6/Z /� PERM � eO ' �� ((( Owner/Authorized Agent Signature D (Revised 9/23/2016) qz.)