706 60TH ST SW B 2020-06-15 - Laserfiche WebLink

OfXir PERMIT APPLICATIOI. BUILDING/MECHANICAL/ PLUMBING I SIGN /SPRINKLER/ DEMOLITION 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 Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 'j 0 4 4 0�� $T :$ I/ , rr PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision (,LA/('T Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: ckL ji_ TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 6'75- /6 S'' PL. S. E cry Ft/E.z E-7- STATE of A „ ZIP 7gzeig OWNER PHONE: I/2 _3 V ..... 0663 OWNER EMAIL: eg4 KF42‘Jaz e k,,rd,nl • CONTRACTOR NAME: 3`� a�fes' ill, CONTRACTOR ADDRESS: STREET /5 /Off' PL. __,c"- c r CITY y EiLeTr STATE 114,A, /Z1IP 9' g(�og CONTRACTOR PHONE: c�2., -3 y3 g CONTRACTOR EMAIL: .agg�k,' a4L/22 `�e/_ c 0/Il CONTRACTOR LICENSE.##((REQUIRED):/ ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: DOWNER LI CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: L,/ /2$ -? ?-5 gam. (�c K i- CONTACT EMAIL: 2 L BUILDING PERMIT APPLICATION Existing Use of Building: Durt., X Contract Price of Work:$ /i/ aerni Proposed Use of Building: 5/1014€_, Heat Source: CI Gas 'lectric CI Other Building Type: ❑SFR-Detached ❑SFR-Attached ITIeuplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New DAddition CI Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ['Change of Use DESCRIPTION OF WORK: /j--(1£ 49474 ece/ EFL./4 C i s�d/Le j�/ .7N.S 'e -r 'N 0 ..$`-/fg r i�-' -REF .$0�'YI PG uh'JQ.r/�r- -- 7 /i Z 5 i' /�-G£- X'ie .moo .q�4.11-AJ (M1114-&-i > . ' w , ,,, . - ASSOCIATED BUILDING PERMIT#(if app'Iicable): • 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 NC—Air Handling Units Heat Pump Toilet , Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater 1 Bathtub, Urinal Gas Piping Boiler 2._ Lavatory(Wash Basin) Drinking Fountain tWater Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove t Kitchen Sink&Disposal Grease Trap Gas Range Ducting / Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood4 Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER I 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 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 CoLaw 18.27 RCW and 296.200A WAC. City of Everett Official Use Only AO / PERMIT# A' r"" 0//r71/ "Z fit/g61 - 04.?, Owner/Authorized Agent Signature Date (Revised 9/23/2016)