3313 OAKES AVE A B 2020-07-14 - Laserfiche WebLink

PERMIT,APPLICATIOm' , 411"L- DUILDII 1 MECHANICAL/ PLUMBING /SIGI RINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES ` M 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 (Blase®e' !=,lack Ink Only Please) FR.;JECT SITE INFO'MATION PROJECT SITE ADDRESS: 33) 0 n S A o1 tik11' -'134 g PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION 4(OWNER NAME: Ya,11A e,tr 13/...Li(c�ey, co rr TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET F6 Ia,)'p (94-e--7 AC�Qa / CITY E0-ed-6...`f IA./A/ ZIP CiSRO?Q C2 OWNER PHONE: i ++ OW1NER EMAIL: 'I-CONTRACTOR NAME: (/U k I r1--,-Tvi: I co�,. fi S .K v.1-1(.'t0` CONTRACTOR ADDRESS: STREET )6,00 wv- ST n I r 3 os-- ., L 14L Skui STATE a. ZIP 9S-2'. CONTRACTOR PHONE: CONTRACTOR EMAIL: "'CONTRACTOR LICENSE#(REQUIRED): W99 1+ire�'.ei)o t. 4ITY OF EVERETT BUSINESS LICENSE#(REQUIRED):On s-Ys PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: C7 Zs'z 3 q_ 674 (j erre a I CI U� CONTACT EMAIL: 2' k4-v; (eon54-17_.A,I.`N 1'v # cat. BUILDING PERMIT APPLICATION s. Existing Use of Building: Contract Price of Work:$* y/ir[Tt5 1p06 0 Proposed Use of Building: • Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached DSFR-Attached ❑Duplex 'IaMulti-Family-#of Units: ❑Commercial 0 Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.1. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use .i,DES PTION OF WORK: (6w, k P14-0,1c .cl,is_ 1 q--02 .-0°9. 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 CeToilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater a Bathtub Urinal Gas Piping Boiler ( Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove a Kitchen Sink&Disposal Grease Trap Gas Range Ducting a Dishwasher Roof Drains Clothes Dryer Hookups Other: • a Clothes Washer Medical Gas Range Hood a. Water Heater Other: 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 ore be•.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 comp/ ith the State ont-ctors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only cli / i 2- Z.f 2 PERI n- \2 --0 l O , Ow er/Aut rized ••Q5,8<nature ate (Revised 9/23/2016)