2905 LEONARD DR 2020-07-14 - Laserfiche WebLink

44-77- PERMIT APPLICATION BUILDING I 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 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS: '7C�Q5- �r 1C1 l G� �� PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. _ (attach copy of long legal description) — (�`,,,, r CONTACT INFORMATION OWNER NAME: NAGt((' C\ -r-tl4LU 3p CJk \ TETENANT NAME(If Commercial): --- OWNER MAILING ADDRESS: STREET 2v Y Jlj (__SV ICA )I I JV 1V.� c� CITY FNj"�; STATE `V� ZIP 1Z I OWNER PHONE:C--/(,S' C2,rj 'SygC OWNER EMAIL: CWCAnAONIY\c-T ._(k ' CNV\Qv`_Q .C- Vi 1 CONTRACTOR NAME CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: OWNER 0 CONTRACTOR ❑ OTHER(Please Specify) ]��{Q CO TACT NAME: CONTACT PHONE:42 ' 0\225,�-I-Ip k\ A S CONTACT EMAIL: BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: $ 000 Proposed Use of Building: Heat Source: 'Gas NISet lectric iXther Y'JCJ&-- Building Type: FR-Detached ❑SFR-Attached CI Duplex OMulti-Family-#of Units: El Commercial ❑Industrial Type of Project: ElNew iddition ❑Remodel ❑Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTIONV�OF WORK: n17 \ � 1 • Pi ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration Repair -� Type of Project: _New A 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 1 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 Number 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, an I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only q ., PERMIT# 62ZO) Q C / ta() - 02O ( \ 2 , Owner/Authorized Agent Signature Date (Revised 10/12/2015)