5002 BEAUMONT DR 2020-05-04 - Laserfiche WebLink

0.--.4:77. PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER/ DEMOLITION CITY OF EVERETT PERMET SERVICES 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: �- .T .Zt2 v.'StsE PROPERTY TAX#: 00:° /7cOc)C05 ) LEGAL for new construction: Short PlatIsubdivision fl Ano;4,./Lot No., (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: • • TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: t`, A:1'1:/Z 1, 'fz'vs PiapQL-,C�l J , A AO., CONTRACTOR ADDRESS: STREET J0Jai rUER 4�pi LAY lj'`ii PS-16 c CITY VE/ -1' STATE L 4 ZIP cirlaD / CONTRACTOR PHONE: 14t h • (�s--138n CONTRACTOR EMAIL: &j,JA/J /t/ L-f1/C /4%/Gb , (7ii of. CONTRACTOR LICENSE#(REQUIRED):( 1_faC.(V 05 33 K t til CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):a, �,L{,C' PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) #e-e• ` ✓w 1 CONTACT NAME: !7 god r/ ! /Jti i CONTACT PHONE: /�/� . --. .-i.) �?Y .- iJ/:'80, I, CONTACT EMAIL: 7o . /ALle/C• Y I/ e 'fir ©& 0�/ BUILDING PERMIT APPLICATION / „•� Lc�, Existing Use of Building: / Contract Price of Work: $ r"/L:' y •[�� Proposed Use of Building: 06/�6/Ruit ( %I/A u .5 FR Heat Source: Ptas ❑Electric ❑Other Building Type: SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: lew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use, DESCRIPTION OF WORK: 00N6fRme7 N¢uo /V JO y}y 50,u64 E f;f4 rti, .-•.. No"i Q / l,9ii7 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 #of #of #of Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures NC—Air Handling Units Heat Pump .:3 Toilet Backflow Preventer(Inside Bldg) 4 Forced Air Systems Unit Heater J Bathtub Lavatory(Wash Basin) Urinal Gas Piping Boiler Drinking Fountain ® Water Heater Refrigeration Shower Floor Drain I Gas Fireplace Wood Stove 1 Kitchen Sink&Disposal Grease Trap I~ Gas Range Ducting I Dishwasher Roof Drains Clothes Dryer Hookups Other: t Clothes Washer Medical Gas • Range Hood f Water Heater Other: Li 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 .y with e Stat-I :•tractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only i c2 ( , PERMIT# Ak, ._ %, (2 ( _12„_________ ii.-/ -i7 _Aili -60 ‘7 _i, Ow er/ thorized Agent Signatu : Date (Revised 9/23/2016)