7109 RAINIER DR G H 2020-07-15 - Laserfiche WebLink

PERMIT APPLICATION 961 BUILDINU1 1 MECHANICAL/ PLUMBING I SIGN 16FR INKLER I DE� vl oLITION CITY OF EVERETT PERMIT SERVICES 4,44‘71i. . 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: -11,01 n ,e,) E(fj. 418;-08 PROPERTY TAX#: 00g II2_3 DO`?gIt, LEGAL for new construction: Short Plat/subdivision /o + Jit No. (attach copy of long legal description) CONTAC I FORMATION OWNER NAME: aowa 0IJ 'e'LI-L K... ( TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 8 tOg Eiset,tVi C-mi Z(e- • CITY L U ca-EA STATE k)...AA— ZIP f 8 ^�0 OWNER PHONE: 1-JL5-3 37 -2(-{Zct OWNER EMAIL:5 '(AII.) land-iIa4 SOjk.,.. ezoi CONTRACTOR NAME: '4 EA-0 Q VL ' „. ,,' CONTRACTOR ADDRESS: STREET Cyt A ,f� cITY 5k.)O `L VI I t+- STATE (j...*--- ZIP ' e Z,co CONTRACTOR PHONE: CONTRACTOR EMAIL: LLL CONTRACTOR LICENSE#(REQUIRED): �� CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): Z PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR 1,J OTHER(Please Specify) 0A/A ,--443 CONTACT NAME: CONTACT PHONE: toISSS-(.SttOZ,- �ti} -i '►-� 1A v du---N" CONTACT EMAIL: Girt, -tAi p t a,e 4 i&j sd ry , '(D BUILDING PERMIT APPLICATION I Existing Use of Building: Contract Price of Work:$ ` Q O� Proposed Use of Building: Heat Source: ❑Gas XElectric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial El Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: J a�pt.� -�'-C I' Czxc]as ASSOCIATED BUILDING PERMIT#(if applicable): - - . MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: X.New — Addn Alteration _Repair Type of Project: xNew _Addn Alteration _Repair #of List of Fixtures #of L'st of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures 'A/C-Air Handling Units Heat Pump (Q Toilet Backflow Preventer(Inside Bldg) _ Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler (p Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration 2, Shower Floor Drain Gas Fireplace Wood Stove 2, Kitchen Sink&Disposal Grease Trap Z Gas Range Ducting . Dishwasher Roof Drains 7_ Clothes Dryer Hookups Other: _ 2, WClothes Washer Medical Gas gRange HoodWater 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 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 (Vie ,21f//j 147 Yq /.2 '''e—./. PERM(if# ThI Owner/Authorized A9gnf Signature 1 Date (Revised 9/23/2016) \ 1 z_