1205 50TH ST SW 2020-07-02 - Laserfiche WebLink

PERMIT APPLICAT-ONM BUILDING I MECHANICAL/ PLUMBING / SIGN I SPRINKLER/ DEMOLITION A°14.00' 1/4:41°."---1 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: /205, 56{` Sfi PROPERTY TAX#: Z9043$00 3560 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:1y �.q12.5E7•.i ? DANA L.n/'i6 6f21- TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET )ar, £b Sr S cm E••i e7REir STATE 1N ZIP 402?) OWNER PHONE: 92-5- L22- 5.3b9 OWNER EMAIL: SvA)1°1-T.flsuwNZoo( Sma."1•Corte+ CONTRACTOR NAME: 1'A-G 1 Pt-- 6-42-A6-6 S )N`- CONTRACTOR ADDRESS: STREET r3 I 1 j7crr LAT-6g BeA-C-t$ .P CITY -nV LA2-)-,0 STATE LOA ZIP F827/ CONTRACTOR PHONE: /fz_sSob 75Z CONTRACTOR EMAIL:iCX OL-S0 P,P p<.64¢4-4-6 _ CONTRACTOR LICENSE#(REQUIRED):: AJ AC/C t.��1 001� CITY OF EVERETT BUSINESS LICENSE#(R-0 RED):2 573 PRIMARY CONTACT: 0 OWNER a'6E NTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 42.s- 5-02, cps—2 d L-.5 0' CONTACT EMAIL: El)_b I-Sta,4l P ) C C-. RA-L S-CO/- BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ Di OD 0 Proposed Use of Building: 6,: 461r✓ Heat Source: ❑Gas Ct7 ectric DOther Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family#of Units: ❑Commercial ❑Industrial Type of Project: Ef1Gew 1:7A1dition 0 Remodel 0 Repair DTI. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: 6,4e4.6,61 ?iv t3 /AV FULL ,3Arn4(2o6/1,‘ 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 #°f List of Fixtures #of List of Fixtures #°f List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units ,Heat Pump I Fixtures, Backflow Preventer(Inside Bldg) Forced Air Systems V Unit Heater I .- Bathtub Urinal Gas Piping Boiler I ✓ Lavatory(Wash Basin) Drinking Fountain t V 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: I V 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 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 PER # 7//a r g03 - OD3 Owner/ uthorized Agent Signature Date (Revised 9/23/2016)