3815 SHORE AVE 2020-05-20 - Laserfiche WebLink

4677- PERMIT APPLICATION BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: is S ---;...„47A LL)14--962.3 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No.R (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:< I,v1 • 044,vic.frp!( / ,,,..� TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET (S 7140 ----' CITY ca.- G STATE c..4/1- ZIP 1?49�t OWNER PHONE:Jc.7 ?- cZc_ OWNER EMAIL: jJ ,d? N2,A)r1jF . C 0.vv, CONTRACTOR NAME: ..)- (r____ CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: M OWNER ❑ CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: ��_793• SE- o 14A,k\ 6�V(V}c Jr CONTACT EMAIL: c A----c.ii n,er __D� C ^�sC 601,1 BUILDING PERMIT APPLICATION Existing Use of Building: Si) A,,,,,,,,L\ Contract Price of Work: $ Proposed Use of Building: Heat Source: ❑Gas 0 Electric DOther Building Type: ❑SFR-Detached DSFR-Attached ODuplex ❑Multi-Family-#of Units: DCommercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. OSign OSprinkler ,Demolition OChange of Use DESCRIPTION OF WORK: / nAn..5 AOS • ASSOCIATED BUILDING PERMIT#(if applicable): -1)- `; • 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 i A/C-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub _'Urinal Gas Piping i Boiler iLavatory(Wash Basin) Drinking Fountain Water Heater i Refrigeration Shower _Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range i 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 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.-ing 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 ith the S:to Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT#_, _ 3/41 �� l)( g0 ._ 06 3Own7rh uth.rized Agent Si.natureDat (Revised 9/23/2016) j lk