3020 GEDNEY ST 2020-05-04 - Laserfiche WebLink

PERMIT APPLICATION #11111/"Ij/P� BUILDING -CHANICAL/ PLUMBING I SIGN / I INKLER I DEMOLITION Iw' CITY OF EVERETT PERMIT 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 Mack Ink Only Please);: PROJECT SITE INFORMATION °` '; , PROJECT SITE ADDRESS: &b IC ..A/&is c Ae PROPERTY TAX#: „s'7 C 7 2--cc..) (1 CO LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: v19-&-Yeiti /��e___ TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 4/ L( 7i./ /7 tc . </O2— /� d�r� CITY / 6-7.40. t .Ale AC- STATE , ZIP fp cr OWNER PHONE: f-5 Via/ -.S-6 'ate eci OWNER EMAIL: ._�i+�,.(f/} 5.4 ji (7 �c-) C>,,4 S7;,y /7- CONTRACTOR NAME: Pipz Tr k 01,vh 4(14. 1 It C. CONTRACTOR ADDRESS: STREET 3 5 2 4. /Li r 01. 51- S w CITY 'iliyt bi,a 3 STATE ZIP ,�/•6...p CONTRACTOR PHONE: 915" 2,-7 3 Cos��»//1�� I CONTRACTOR EMAIL: rte., fry//// """ ti tb W CONTRACTOR LICENSE#(REQUIRED): 1:71y? ,4 ( $y 6 27 CITY OF EVERETT BUSINESS LICENSE#(REQUIRE'): a.9 s PRIMARY CONTACT:PoeOWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: ,_ ,6c> = ?.4. / -3<38 76 P/V` 7-M Le-- CONTACT EMAIL: .C-:u/ i''`'ll? .2 I co 04 ,,4.5?' ,Jr`T BUILDING PERMIT APPLICATIOItI Existing Use of Building: Contract Price of Work:$ Soc. Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR Attached CI Duplex ❑Multi-Family-#of Units: CI Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: k iatri7 4,2)..d 7 t / i 4,-a 1,-41A/. f 7 / ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT.APP ;CATION .,1 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 NC—Air Handling Units Heat Pump 7-- 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 f Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM !Chemical or Water ) 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 lam 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. i City of Everett Official Use Only / PET1 -- 2., - co2___ Owner/Authorized Agen,Signature ! I /Date/ (Revised 9/23/2016)