1239 52ND ST SE 2020-06-18 - Laserfiche WebLink

PERMIT APPLICATIOFl BUILDING/ MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 4rerr 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) a PROJECT SITE INFORMATION PROJECT SITE ADDRESS: z 3 g 5-4---)—D Sy 5 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:7631 fir, TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET EGA �,Ji4rc-t� (*I.J CITY 6-1)6.6.&))'1Agarair STATE (,a.) ZIP 9, to 3 OWNER PHONE: " .A. to -3 g — c/9/ OWNER EMAIL: DE,--34,4-U-14. pvt CONTRACTOR NAME: (:)0/ 6--k_ / CONTRACTOR ADDRESS: STREET COY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: XOWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 7,0 b -3$ - p(i9 tom. 44- ' -'.- &1 CONTACT EMAIL: 6_750,,,(LA.1Mce4ttiL_L j p fl' thi Casvc BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ to 50 Proposed Use of Building: Heat Source: ❑Gas ❑Electric DOther _ _ Building Type: SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial 0 Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION �OFWORK: tMoU L .,761A_ F�R+�1 _ yq.O((tc5� Z IG�C.j� It&/Su.rc..D _ Tit SII��YL Pt S / 1&k1"&-,i f„`c ' u-i iJ s 2 S 1(v+,Jt 16 4Y,DS} i Vert-Li S 7b 2 5 1-6D03 6-K.S Ai---1D I Tv-6 S t4a‘^)ble---f ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATIOtl PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn u Alteration R it Type of Project: New _Addn _Alterationepair #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 l Bathtub V W& J E Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain i Water Heater Refrigeration Z. Shower \f q�VLL 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: Z S16)36-4— SPRINKLER em&SPRINKLER/SUPPRESSION SYSTEM Z SlibtA)6-�A -17 Chemical or Water 1 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 Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only r ( 1 1 2 I PERMIT# D 0© 0 ner/Authorizeti'Agent Signature Date (Revised 9/2 /2016)