9229 18TH AVE W 2020-06-03 - Laserfiche WebLink

PERMIT APPLICATION BUILDING/MECHANICAL/ PLUMBING/SIGN/SPRINKLER/DEMOLITION 41:77CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE IINFORMATION PROJECT SITE ADDRESS:qzgq /6 PROPERTY TAX#: a,614/ 06010 614/0 hyo p I ut loc e LEGAL for new construction: Short Plat/subdivision Lot No. v (attach copy(offlloCngg legal description)ri `• CONTACT INFORMATION:: OWNER NAME: DAV/1, ,4./cj TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET pt Q. g CITY 51.--A ✓lIUGIOD STATE `J JA- zip 4 . 12 OWNER PHONE: 42-5-350-- .( 71z_ OWNER EMAIL: CONTRACTOR NAME: Dm, N176 pLufrig l>J6-Nrf/6977,0r7- CONTRACTOR ADDRESS: STREET /44/Lf 13, e. to • CITY L VtJ id WOOD STATE WA- ZIP R Ens 7 CONTRACTOR PHONE: 425-77,1-4z/4z/ CONTRACTOR EMAIL: 3/21/4-,91/4) a � 14.Ji)u/re-,/Je CONTRACTOR LICENSE#(REQUIRED):DAygt"p f-}Gjq(Gf,eQ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):mg-xi l j PRIMARY CONTACT: Cl OWNER XCONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 142Gy-775_t VG'13 L,I A/•.1 ��F-r CONTACT EMAIL: 13( A.24Q �131a 04.") rre, BU,.ILDING PERMIT APPLICATION.. .. Existing Use of Building: Contract Price of Work:$ 3�S.q 7r o Proposed Use of Building: Heat Source: ❑Gas CI Electric El Other Building Type: ❑SFR-Detached SFR-Attached ❑Duplex ❑Multi-Family-#of Units: El Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel CI Repair ❑T.1. ❑ISiign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: „T-14.5,7_414_, �t!vt 21 Re/VA'TE 4 047E7r_ fjzG vt f/_rn�� �Q Cmc' WA-Tre-- 1)1 iG1, ASSOCIATED BUILDING PERMIT#(if applicable): Type of Project: _New_ MECHANICALPERMIT;APPLIICATION;; ,, . , PLUMBING,PERMIT APPLICATION j 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 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.) I Other: (O,0 5eyye _, SPRINKLER` up,eRESSION SYSTEM;; ... Number 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.1 am the owner,or 1 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 O Only� PERMIT V v Ow Aut ized Agent Signature �X9/Jj Date (Revised 10/12/2015) 3