925 112TH ST SE 2020-05-22 - Laserfiche WebLink

101.47"7- PERMIT APPLICATION BUILDING / MECHANICAL / PLUMBING / SIGN /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) L PROJECT'- SITE INFORMATION PROJECT SITE ADDRESS: a72-5- �IZSf .SE r !/1/ITS A, I,.of PROPERTY TAX#: Za-/fa,7 39! 20147 LEGAL for new construction: Short Plat/subdivision A//4 Lot No. (attach copy of long legal description) / CONTACT INFORMATION OWNER NAME: /14b1/1-pp/ Am, aha,H(SA ,TENANT NAME(If Commercial): 43/4- OWNER MAILING ADDRESS: STREET /692/7 //4/! 99 571 la /� ^3..��7 CITY �/)II M.ADId STATE /N4 o ZIP 93 OWNER PHONE: (4 ) 72-2-- 7-424. OWNER EMAIL: Ogi9d,[/Sohg./12/T>ijr'rtohjootti j , Or'GJ CONTRACTOR NAME SA114 E AS OWN CONTRACTOR ADDRESS: STREET -" CITY z� STATE '"-" ZIP - CONTRACTOR PHONE: CONTRACTOR EMAIL: , CONTRACTOR LICENSE#(REQUIRED): 'Perry r4'6f 2c Pte{-- CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 73y PRIMARY CONTACT: ®OWNER ❑CONTRACTOR 0 OTHER(Please Specify) / CONTACT NAME: s CONTACT PHONE: (4 z ) 922. - ZOIOG Q1e s I /�Cvis.,r, CONTACT EMAIL: C4,oldt/S,h Q Av614ISO c&ten;SA •o7 BUILDING PERMIT APPLICATION Existing Use of Building: /3/4g/475 1/4C4441 Contract Price of Work: $�4%1.90 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: -0:31-12-Detached 1E/SFR-Attached ❑'Btlplex ❑Malti.Family-#of Units: ❑Commercial ❑Industrial Type of Project: EIS ❑Addition ❑Rs+sedel ❑Rzpair E3T±.tr ❑Stgrr ❑Sprinkler INDemolition ❑Change of Uso DESCRIPTION OF WORK: All, Aleee 46IAi am' s Aote) -{p peer, -coy/ f,‹ ASSOCIATED BUILDING PERMIT#(if applicable): /v �`,,14 (47, ,--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 A/C—Air Handling Units Heat Pump 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 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 being auth rized 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 t to Contr ctors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only / b / PERMIT + I �'00 I Owner uthorized Agent 1 ure ate (Revised 9/23/2016)