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

PERMIT APPLICATION BUILDING i MECHANICAL I PLUMBING / SIGN / SPRINKLER/DEMOLITION CITY OF EVERETT PERMIT SERVICES itimal 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits Iplue or Black Ink Only Please) r F�OJECCT Sl T E lMFORMATION PROJECT SITE ADDRESS: -5/ - (4/A5 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) I� CONTACT IMF RMATIOM OWNER NAME: /'-/1:/L//6L 84,"1LJJ t ? TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET g// © E. i 7- p q CITY 4 6 - STATE t,,: ,/'1 i ZIP GL 0Z7 ' OWNER PHONE: /..0.,,c4 l 61`0 LI - yo 4,0 OWNER EMAIL: `,.,�� ,CONTRACTOR NAME. / '1,i�" H1/V t/-r 7L- C..O1i 'IKIA Cr 1 O rV (CONTRACTOR ADDRESS: STREET i 1 OA(0 •SL4 St TJ E 30 G CITY UKAAt. Sie41 S STATE (AiPr ZIP It VC CONTRACTOR PHONE: L j2(/Zi _6e /q y CONTRACTOR EMAIL:(j)tilq'ORA I coo s-W/A 041.a"of left.COWL • CONTRACTOR LICENSE#(REQUIRED): IAt +- -C -1 I O UL CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑ OWNER Ei CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 42s- 2 '- 6 5c c'+ IG- -,_._ I1 lIL,�i7;s F-a CONTACT EMAIL: BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: $ Proposed Use of Building: Heat Source: OGas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial i Type of Project: ❑New DAddition ❑Remodel ❑Repair ❑T.I. DSign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: /11 6/4-47\ili ... )„L. /4 61) poi)Lic...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 #of List of Fixtures List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures ,Q.- A/C-Air Handling Units 0-- Heat Pump Toilet Backflow Preventer(Inside Bldg) ?...., Forced Air Systems er Unit Heater Bathtub Urinal 2 Gas Piping 0" Boiler Lavatory(Wash Basin) Drinking Fountain '1,. Water Heater Refrigeration Shower 1 Floor Drain •7J Gas Fireplace 1 Wood Stove Kitchen Sink&Disposal G Grease Trap -",_.- Gas Range Ducting Dishwasher Roof Drains 1 Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water No. of Heads ' N ACKNOWL EMENT:I h- e reviewed this application and confirm the information contained herein is true and correct.Work done pursuant to this permit must comply with current eral,state,and loca aw. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Buildi g Official before being a,l horized 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 comply with the State Co rectors Law 18.27 RCW and 296.200A WAC. / City of Everett Official Use Only i [ PERMIT# 62-2?l6 / lk0al -r 7v, Owner/Authorized ••• t SI•nature Date (Revised 9/23/2016)