Laserfiche WebLink
PERMIT APPLICATIOIR <br />BUILDIN MECHANICAL / PLUMBING / SIGN PRINKLER /DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: 7130 Highland Drive Everett, WA. 98023 <br />PROPERTY TAX #: 00392800800500 <br />LEGAL for new construction: Short Plat/subdivision SEE ATTACHED Lot No. 5 (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: DANIEL AND ESTERA IANOS TENANT NAME (if Commercial): <br />OWNER MAILING ADDRESS: STREET 7130 HIGHLAND DRIVE <br />CITY EVERETT STATE WA zip 98023 <br />OWNER PHONE: 206 446 4117 <br />OWNER EMAIL: daniel.estera@yahoo.com <br />CONTRACTORNAME; TBD OW - <br />CONTRACTOR ADDRESS: STREET <br />ciry snare zip <br />CONTRACTOR PHONE: <br />CONTRACTOR EMAIL: <br />CONTRACTOR LICENSE #(REQUIRED): <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ,WOTHER (Please Specify) AGENT <br />CONTACT NAME: <br />r l L <br />CONTACT PHONE: 425 443 9387 <br />CONTACT EMAIL: kentvicary@yahoo.com <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building: Residential <br />lContract Price of Work: $ 120000 <br />Proposed Use of Building: Residential <br />Heat Source: I eGas ❑Electric ❑Other <br />Building Type: OSFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Famil -# of Units: ❑Commercial ❑Industrial <br />Type of Project: ❑New OAddltion ❑Remodel ❑Re air ❑T.I. ❑Sin ❑S rinkler ❑Demolition ❑Chan a of Use <br />DESCRIPTION OF WORK: � %3G �[� Si Jk L L` SrCsj2 Y f�v c %tv�1 Vv' � i^ S 9L 04- <br />r rl/ t�sL 0"tCLOP(;:'- -3 t1EW (.3c,() 12k:x2i­qSt E r- LiC-i- }t-( ) 111-f. <br />r�) r i � kf- A=- Q o i rY ezo _ <br />ASSOCIATED BUILDING PERMIT # if applicable): � C .44*r46' ::. <br />MEC"ANICAL PERMIT -APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: New Addn _Alteration Repair <br />Type of Project: _New Addn _Alteration _Repair <br />Fixtures <br />List of Fixtures <br />Fixtures <br />List of Fixtures <br /># ofFixtures <br />List of Fixtures <br />Fix#ttolr s <br />List of Fixtures <br />A/C — AirHandling Units <br />Heat Pump <br />"a <br />Toilet <br />Backflow Preventer Inside Bldg) <br />Forced Air S stems <br />Unit Heater <br />il <br />Bathtub <br />Urinal <br />Gas Piping <br />Boiler <br />Lavatory Wash Basin <br />Drinking Fountain <br />Water Heater <br />Refrigeration <br />Shower <br />Floor Drain <br />Gas Fireplace <br />Wood Stove <br />Kitchen Sink & Disposal <br />Grease Trap <br />Gas Range <br />Ducting <br />Dishwasher <br />Roof Drains <br />Clothes Dryer Hookups <br />Other: <br />Clothes Washer <br />Medical Gas <br />Range Hood <br />Water Heater <br />Other: <br />Exhaust Fan <br />Sink Service/Bar/Mop/etc. <br />Other: <br />SPRINKLER / SUPPRESSION <br />SYSTEM <br />Chemical or Water I <br />I <br />No, of Heads <br />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 <br />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 <br />Building Official before being authorized under any circumstance. / am the owner, or I am authorized by the owner of this property to perform the work for which application is made, <br />and I comply with tho State Contractors Law 18.27 RCW and 296.200A WA C. <br />City of Everett Official Use Only <br />P PERMIT # r <br />05 <br />Agent Sign ture Date (Revised 9123/2016) <br />