4702 W GLENHAVEN DR 2020-06-16 - Laserfiche WebLink

PERMIT APPLICATION °I.11?/-=‘ BUILDING / MECHANICAL/ PLUMBING /SIGN/SPRINKLER/ DEMOL)TION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 j(E)everetteps@everettwa.gov j www.everettwa.gov/permits (Blase or Black lr ( *ally Please) PROJECT SITE Ih\lFOn,61/ATRON PROJECT SITE ADDRESS: �} 21r2_ (,✓ (.. I!r:-i'`tf t(L t-- l.),/2 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT I41FORMATIOIN _ !OWNER NAME: L E TENANT NAME(If Commercial): !OWNER MAILING ADDRESS: STREET 1LI 7 o Z. �. ; r-j/ �-{A lU CITY E V Tt STATE 1)041 ZIP OWNER PHONE: I - 2- _CO 3, OWNER EMAIL: CONTRACTOR NAME: j+f}/l�S' flJ ecoti)3 i/-1J,rc ) CONTRACTOR ADDRESS: STREET 1(-�61 ( J X5`7- 67jel-- 67l ry��&. STATEW,&. ZIP 1g:23 CONTRACTOR PHONE: 12_'4). -34', CONTRACTOR EMAIL: R-1-1^Gi.fl v, cii G-ina.1, CONTRACTOR LICENSE#(REQUIRED):(?O2 5 I 1 Ob S Cc Ncs-ros, CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 05S I ,`S PRIMARY CONTACT: 0 OWNER R1 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: if 2 4 3 65 S CONTACT EMAIL: pi o ua CG AA BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: $ I t:, , Proposed Use of Building: Heat Source: ❑Gas DElectric ❑Other Building Type: ❑SFR-Detached DSFR-Attached ❑Duplex ❑Multi-Family-#of Units: DCommercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel DRepair DTI. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Deck cx� 1.;sJa� ASSOCIATED BUILDING PERMIT#(if applicable): 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 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 properly to perform the work for which application is made, and I corn. • - -to Contractors Law 18.27 RCW and 296.200A WAC. / QCiitty of Everett Official Use Only �— 2 ��. /`S' PET( C76v -eD1�( Owner/Aut .rized Agent Signature Date (Revised 9/23/2016)