7109 RAINIER DR C D 2022-04-05 - Laserfiche WebLink

PERMIT APPLICATIOL 3I8( 2— ` EUILDIN1I V1ECHANICAL/ PLUMBING / SIGN rS 'RINKLER/ DEWROLITION CITY OF EVERETT PERMIT SERVICES • v 3200 CEDAR STREET,EVERETT,WA 98201 • ` (P)425-257-8810 I FAX 425-257-8857 (E)everetteps@everettwa.gov I www.everettwa.gov/permits (1='lase or Black Ink Only Please) PROJECT SITE INF*i MATION PROJECT SITE ADDRESS: 'J t Q 1 YI —0,e•. •EV i: l3 O5' PROPERTY TAX#: C7 0 '-f j DO-7 9 1• LEGAL for new construction: Short Plat/subdivision O IlkLot No. (attach copy of long legal description) CONTACT INFORMATI•IN OWNER NAME: 30Y'O O ) t_ti K-dA TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 8 9,0 g SPR 1 ,11 PJ Z 12 • CITY L V SJ`L 1 TJ- STATE1 - ZIP 1 8`V0 V OWNER PHONE: 1.2-337 -2L{Zy OWNER EMAIL:SH U/J�la.6.8 tlatSOUL,• Cv►1 CONTRACTOR NAME: A cor(Ltt v–tioxio0 CONTRACTOR ADDRESS: STREET-- CITY TREETCITY SO O MVV' A- J /\.. STATE LOA- ) q62--1O CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIREDZL 32,1-4PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ffrOTHER(Please Specify) CLAPhV-4_ r CONTACT NAME: u� CONTACT PHONE: j SSS Z� �I � `\ CONTACT EMAIL: s lit licca p e_t c,,,d4 l cU SOYI • aYv BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$_ L. 0(.• Proposed Use of Building: • Heat Source: ❑Gas Xlectric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel 0 Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: tJ. ,p(,.e --Z-e.Lj A ( Cv tcloS ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICk:,TION PLUMBING PERMIT APPLICATION Type of Project: X New _ Addn Alteration Repair Type of Project: XNew 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 (p Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater -2._ Bathtub Urinal •j__J Gas Piping Boiler 6p Lavatory(Wash Basin) Drinking Fountain ?___ Water Heater Refrigeration _ 2, Shower Floor Drain j,, Gas Fireplace Wood Stove 2. Kitchen Sink&Disposal Grease Trap Z Gas Range 2_ Di :ting `L, Dishwasher Roof Drains 7_ Clothes Dryer Hookups Other: lothes Washer Medical Gas Range Hood Water Heater Other: ,q 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 ,: ..„.„.,..„,/,(;,,---- .--,>-)1 '.,2 -g-/?...___ PERM ...1#‘K-c.2- ccs Ow uthorized Agent Signature l Date (Revised 9/23/2016) I'