1722 MAPLE ST 2020-06-17 - Laserfiche WebLink

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 (E)everetteps@everettwa.gov www.everettwa.gov/permits (Blue or Black ink Only Please) ` " PROJECTSITE INFORMATION PROJECT SITE ADDRESS: / 51ZZ /dap// 311/. C /� t•-t 1 PROPERTY TAX#: 046 in5"99o5O 457:5(:) LEGAL for new construction:.Short Plat/subdivislon Lot No. (attach copy of long legal description) I CONTACT.INFORMATION OWNER NAME: f2a( gG.I)u L sill TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET I yZZ. p/e Ej CrtY � '/z ,9 STATE / , ZIP ! `.' OWNER PHONE: 4184, OWNER EMAIL: CONTRACTOR NAME: f>`Sc j�Dg- 21L.1/dei n' LU..S n°� CONTRACTOR ADDRESS: STREET 7/O$ I /p,�v CITY ,ghte,`1O/XJSA STATE v ' 4., zip g0 OL<6 CONTRACTOR PHONE: 1.2.6. --,ot3/-5-,g.7? CONTRACTOR EMAIL: z k Pg/o11SIvoR 214 l ' GL C-4:31,1 CONTRACTOR LICENSE#(REQUIRED):(..-i?-5Ci4...'f3 WO b C f f S CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: O OWNER Er6ONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: fj`'25 S/ a .77 k - F v'is/ )a R 7- CONTACT EMAIL: 2i KK. rYS t06R-rkt A6.1.i(-4)-01 BUILDING PERMIT APPLICATION Existing Use of Building: SO� Contract Price of Work:$ c//i/1)/466. Proposed Use of Building: f'trt Heat Source: ❑Gas Et lectric ❑Other Building Type: ❑SFR-Detached I SFR-Attached ❑Duplex OMuiti-Family-#of Units: OCommercial Dindustrial Type of Project: ❑Newrddition ❑Remodel ❑Repair OT.I. OSign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: sa sf iC X12` _ texed -DAR ' >i, 11-23;m) 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 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: y, 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 authorized under any circumstance.I am the owner,or lam authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only Z14/,/ /,a4Vide7 fie- PERMIT#C Sd4 604 Owner/Authorized Agent Signature Date (Revised 9/23/2016)