4620 SEAHURST AVE 2020-05-20 - Laserfiche WebLink

PERMIT APPLICATION M. BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION rAlPf .44/ 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: 146).,0 SeJi v c s-" ITV. PROPERTY TAX#: O®S O 5 200005•/0.5- LEGAL LEGAL for new construction: Short Plat/subdivision Lot No. i (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Pp,y 0 i 110 Ai A,,\ TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET '16)- - Scu l v.,r 4v t• /� CITY G�/Gr(.4'( STATE //Vrit ZIP al 03 OWNER PHONE: )-O6 ` K7-O - 3O 61.0 OWNER EMIL: Ko I keorjA L, l:Qri,4 i ii COi CONTRACTOR NAME: �anrj5 G ConsTru• } -Tit;4A , L- g J CONTRACTOR ADDRESS: STREET )5 q).S Gn n.,eI c RI CITY 5,0Acyi,.311 STATE WA ZIP /D4 lc CONTRACTOR PHONE: -Q - Sao- 13).S CONTRACTOR EMAIL: JA,nr;sConsirt.4/�n1C.JGina%I,G4M CONTRACTOR LICENSE#(REQUIRED): 601 -q?8-- 6.7q CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 05-661:5- PRIMARY 5- 6/,5PRIMARY CONTACT: 0 OWNER JR CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: ).Q 6 .. ciao _ 13 ..,5- 6 kr:, 3 ..,'6kr:i i 10 nniOsrl CONTACT EMAIL: SG,„r;s canZtrt,c7011 egrl,u I.CoM BUILDING PERMIT APPLICATION ExistingUse of Building: .6_9 S� R Contract Price of Work:$ � co0G 1(�QQ --- Proposed Use of Building: SF-R Heat Source: gGas ❑Electric DOther Building Type: RSFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial El Industrial Type of Project: g New ❑Addition ❑Remodel ❑Repair DTI. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: NQ,,,,” S. ^ rL faM:(f Re. de"« ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: X New _ Addn _Alteration _Repair Type of Project: X New Addn _Alteration Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures 1 A/C-Air Handling Units Heat Pump q Toilet I Backflow Preventer(Inside Bldg) 1 Forced Air Systems Unit Heater '- Bathtub Urinal 1 Gas Piping Boiler 6 Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration a. Shower Floor Drain I Gas Fireplace Wood Stove I Kitchen Sink&Disposal Grease Trap I Gas Range Ducting I Dishwasher Roof Drains I Clothes Dryer Hookups Other: 1 Clothes Washer Medical Gas I Range Hood Water Heater Other: 6 Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical oCW_ter I No.of Heads I 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 Use Only I PERMIT 1 y� L - 7' D r/ lfVt Ow er/A d Agent Signature Date (Revised 9/23/2016) lC.